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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/11/2018 <br />Submitted on: 1/5/2018 2:38:25PM <br />Submitted by: Kim Gregory Email: kgregory@calwater.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 2 <br />OW0003627 <br />California Water Service Company <br />1720 North First St. <br />San Jose, CA 95112 <br />408-367-8200 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021441 <br />Facility name <br />CALIFORNIA WATER SERVICE CO - STK <br />Site address <br />802 CAVE LN <br />City <br />STOCKTON <br />ZIP code <br />95207 <br />Facility phone <br />209-547-7900 <br />Facility mailing address <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />1602 E. Lafayette St. <br />Stockton, CA 95205 <br />CERS ID: 10187923 <br />Facility ID in CERS: FA0021441 <br />Information after CIW processing <br />(current submittal) <br />California Water Service Company <br />1720 North First St. <br />San Jose, CA 95112 <br />(408) 367-8200 <br />California Water Service Co. - STK 76 <br />802 CAVE LN <br />STOC KTON <br />95207 <br />(209) 547-7900 <br />1602 E. Lafayette St. <br />Stockton, CA 95205 <br />CALIFORNIA WATER SERVICE CO - STK' California Water Service Company <br />1602 E. Lafayette St. 1720 North First St. <br />Stockton, CA 95205 San Jose, CA 95112 <br />Not Specified (408) 367-8200 <br />Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: <br />New PE: <br />Assigned to: <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 00✓" (�Z- Date: <br />Accounting: Reviewed by: � Date: 5� �l� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 1 chem units PR0537325 JAMIE LIMA Active i I i I <br />