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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: <br /> Submitted on: 1/12/2015 1:15:37PM 2/19/2015 <br /> Submitted by: Andrew Enos Email: aenos@ebmud.com CERS ID: 10182691 <br /> Facility ID in CERS: FA0009460 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007460 <br /> Owner name East Bay Municipal Utility District East Bay Municipal Utility District 111 <br /> Mailing address 375 11th Street PO BOX 24055 MS 704 113 <br /> OAKLAND, CA 94607 OAKLAND, CA 94623-1055 114, 115,116 <br /> Work phone 209-772-8202 2099468000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009460 <br /> Facility name Stockton Center- EBMUD Stockton Center- EBMUD 3 <br /> Site address 1804 W MAIN ST 1804 W MAIN ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95203 95203 105 <br /> Facility phone 209-946-8000 (209) 946-8000 102 <br /> Facility mailing address PO BOX 24055-MS704 PO BOX 24055-MS704 108a <br /> OAKLAND, CA 94623-1055 OAKLAND, CA 94623-1055 108b,108c,108b <br /> BILLING INFORMATION <br /> Contact name Stockton Center- EBMUD Stockton Center-EBMUD 140 <br /> Address PO BOX 24055-MS704 PO BOX 24055- MS704 143 <br /> OAKLAND, CA 94623-1055 OAKLAND, CA 94623-1055 144, 145, 146 <br /> Contact phone 209-946-8000 2099468000 141 <br /> Contact email 142 <br /> Mail invoices to Ckility� <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ j APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ j prorate this calendar year ( ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: OA^" Date: 2-14`1115 <br /> -------------------------------------------------- <br /> ----- --- - -I------- 310-- -- ---- -- - - <br /> Accounting: Reviewed by: _Date: /� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> --------------------------------------- <br /> -- — [ ] Acct billed— [ j Surcharge verified— B : Date: <br /> ------------y-- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location J PRO519645 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR / PR0513851 STACY RIVERA Active [ ] [ ] <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO528281 STACY RIVERA Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524083 HARPRIT MATTU Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0501427 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509460 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533459 not assigned Inactive [ ] [ ] <br />