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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/28/2017 <br /> Submitted on: 4/24/2017 9:37:37AM CERS ID: 10460950 <br /> Submitted by Steve Sasson Email: Steve sasson@cdcr.ca.gov Facility ID in CERS: FA0021992 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner : 1 <br /> Owner ID OW0018106 <br /> Owner name State of California CDCR State of California CDCR 111 <br /> Mailing address PO Box 942883 7707 Austin Road 113 <br /> Sacramento, CA 942883 Stockton, CA 95215 114, 115, 116 <br /> Work phone 209-467-2500 209 467 2500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021992 <br /> Facility name CDCR-California Health Care Facility CDCR-California Health Care Facility 3 <br /> Site address 7707 Austin Rd 7707 Austin Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-467-2500 209 467 2500 102 <br /> Facility mailing address 7707 S Austin Road 7707 Austin Road 108a <br /> Stockton, CA 95215 Stockton, CA 95215 ioee.. 10ec iaed <br /> BILLING INFORMATION <br /> Contact name State of California Steven Sasson 140 <br /> Address PO Box 942883 7707 Austin Road 143 <br /> Sacramento, CA 942883 Stockton, CA 95215 144 145, 146 <br /> Contact phone 209-467-2500 209 467 7904 141 <br /> Contact email steve.sasson@cdcr.ca.gov 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ]l�next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 1, L--> -- Date: -[-)-'fi -17 <br /> Accounting: Reviewed by: W Date:`5I7-/1-7 Clerical: [ ] File [ ] Relabel file [ ] Create new fife <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record [D Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 18 chem units PRO538073 JAMIE LIMA Active <br /> 2220-SM HW GEN<5 TONSIYR PR0538074 ELIANNA FLORIDO Active [ ] [ ] <br /> 2832-AST FAC 10 K-<1=100 K GAL CUMULATIVE PR0538333 ELIANNA FLORIDO Active [ ] [ ] <br />