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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/4/2015 <br /> Submitted on: 1/14/2015 12:33:24PM CELS ID: 10187233 <br /> Submitted by: Ben Guzman Email: bguzman@sjgov.org Facility ID in CERS: FA0019420 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0010634 <br /> Owner name S J CO PUBLIC WORKS DEPT S J CO PUBLIC WORKS DEPT 111 <br /> Mailing address 1702 E SCOTTS AVE 1702 E SCOTTS AVE 113 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 114, 115,116 <br /> Work phone (209) 468-3090 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019420 <br /> Facility name PUBLIC WORKS/ UTILITY WILKINSON MP PUBLIC WORKS/ UTILITY WILKINSON MP 3 <br /> Site address 5458 E EASTVIEW DR 5458 E EASTVIEW DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95207 95207 105 <br /> Facility phone 209-468-3000 (209)468-3000 102 <br /> Facility mailing address 1702 E HAZELTON ST 1702 E SCOTTS AVE 108a <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name PUBLIC WORKS/ UTILITY WILKINSON MP PUBLIC WORKS/ UTILITY WILKINSON MP 140 <br /> Address 1702 E HAZELTON ST 1702 E HAZELTON ST 143 <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br /> Contact phone Not Specified <br /> s3s (209)468-3090 141 <br /> Contact email x,00 3 142 <br /> Mail invoices to Facility <br /> Program record j ] HMBP [ ] SQG HW [ ] LQG HW [ J RCRA HW New PR#: $Z(o <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ J UST New PE: <br /> Assigned to: 0E 't-R (LV,5,q`- <br /> Please bill: [ J full calendar year [ ] prorate thiscalendaryear [ j next calendar year [ J exempt from billing <br /> Processed through CERS Integration Wizard by: AM, Date: <br /> —————————— - ----- - -- <br /> Accounting: Re iewed by: Lb Date: 2p57/15 Clerical: [ ] File [ ] Relabel file Create new file <br /> Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO529104 WALLY NG Inactive I ] [ ] <br /> ^ t u� f-- `Y''� <br />