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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS integration Wizard <br /> Date run 2/2f2017 <br /> Submitted on: 1/20/2017 9:15:13AM CERS ID: 10187145 <br /> Submitted by: Don Cloward Email: firs tclassyacht a@sbcglobaI net <br /> Facility ID in CERS: FA0019257 <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 OW0015808 <br /> Owner name CLOWARD. DON CLOWARD, DON 111 <br /> Mailing address 5519 BROOK FALLS CT 5519 BROOK FALLS CT 113 <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 114, 115, 116 <br /> Work phone 209-810-3691 209 810-3691 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019257 <br /> Facility name FIRST CLASS YACHT FIRST CLASS YACHT 3 <br /> Site address 6651 EMBARCADERO DR 6651 EMBARCADERO DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-951-1233 (209) 951-1233 102 <br /> Facility mailing address 6651 EMBARCADERO DR 6651 EMBARCADERO DR 108a <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 108b, 108C.108d <br /> BILLING INFORMATION <br /> Contact name FIRST CLASS YACHT FIRST CLASS YACHT 140 <br /> Address 6651 EMBARCADERO DR 6651 EMBARCADERO DR 143 <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 144, 145. 146 <br /> Contact phone 209-810-3691 209 810-3691 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: S1-1 ! 6 <br /> created [ ] Tiered permit [ ] APSA [ ] CafARP [ ] UST New PE: 119 20 <br /> Assigned to: Lo?C- Z <br /> Please bili: [..] full calendar year ( ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: ��' L - I �j <br /> Accounting: Reviewed by: 116 Date: I!7 Clerical: [ ] File ( ] Relabel file [ ] Create new file <br /> [ cct billed rSurcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HVV GEN<5 TONS/YR PRO528679 AARON HANG Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE Fi PR0532256 not assigned Inactive [ ] [ ] <br />