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SAN JOAQUIN MNTY ENVIRONMENTAL HEALTH D ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 11/16/2015 <br /> Submitted on: 11/16/2015 6:24:42AM PERS ID: 10181525 <br /> Submitted by: Ty Rust Email: ty.rust@stocktongov.com Facility Ib in CERS: FA0003925 <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: 86 <br /> Owner ID OW0001176 <br /> Owner name Main Street Stockton, LLC C/O CBRE, Inc. CITY OF STOCKTON 111 <br /> Mailing address 400 E Main St., Ste. 127 425 N EL DORADO ST 113 <br /> Stockton, CA 95202 STOCKTON, CA 95202 114, 115, 116 <br /> Work phone 209-946-9626 (209) 937-8341 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003925 <br /> Facility name COS MUNICIPAL SERVICE CTR COS MUNICIPAL SERVICE CTR 3 <br /> Site address 1465 S LINCOLN ST 1465 S LINCOLN ST 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206-1941 95206-1941 105 <br /> Facility phone 209-937-8341 (209) 937-8341 102 <br /> Facility mailing address 1465 S LINCOLN ST 1465 S LINCOLN ST 108a <br /> STOCKTON, CA 95206-1941 STOCKTON, CA 95206-1941 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name COS MUNICIPAL SERVICE CTR COS MUNICIPAL SERVICE CTR 140 <br /> Address 1465 S LINCOLN ST 1465 S LINCOLN ST 143 <br /> STOCKTON, CA 95206-1941 STOCKTON, CA 95206-1941 144,145, 146 <br /> Contact phone 209-937-7582 (209) 937-7582 141 <br /> Contact email DESERIE.SCHAFFER@STOCKTONGOV.0 DESERIE.SCHAFFER@STOCKTONGOV.0 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW I ] LQG HW I ] 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 [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �XA Date: ] t -(b,t <br /> --------------------------------------------------- <br /> Accounting: Reviewed by: bb Date: 1 I Wk Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: _T Date_------------------------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Deactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO619707 ROBERT LOPEZ Active [ 1 [ 1 <br /> 2227-GEN 5<25 TONS PERMIT PRO513893 STACY RIVERA Active [ 1 I 1 <br /> 2361 -UST FACILITY PR0232272 STACY RIVERA Active [ 1 [ 1 <br /> 2831 -AST FAC >/=1,320-<10 K GAL CUMULATIVE PRO528151 STACY RIVERA Active [ 1 [ 1 <br /> 2950-ENVIRON ASSESS PRO505303 DIANE HINSON Active [ 1 [ 1 <br /> 4740-WASTE TIRE SITE-EXEMPT PR0523840 HARPRIT MATTU Active [ 1 I 1 <br /> 2217-APPLIANCE RECYCLER PR0521488 JEFFREY WONG Inactive I 1 [ 1 <br /> 2301 -UST STATE SURCHARGE FEE PRO515554 STEVE SASSON Inactive [ 1 [ 1 <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509538 HAZ MAT SJC DES Inactive [ ] [ 1 <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532592 not assigned Inactive [ ] I 1 <br /> I <br />