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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/16/2015 <br /> Submitted on: 1113/2015 1:09:56PM CERS ID: 10153933 <br /> Submitted by: Debbie Livermore Email: debbie.livermore@stocktongov.com Facility ID in CERS: FA0009481 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001176 <br /> Owner name CITY OF STOCKTON CITY OF STOCKTON 111 <br /> Mailing address 425 N ELDORADO ST 2500 Navy Drive 113 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202-1997 114, 115, 116 <br /> Work phone 209-937-8212 2099378460 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009481 <br /> Facility name CITY OF STOCKTON TERTIARY TREATMI CITY OF STOCKTON TERTIARY TREATMI 3 <br /> Site address 3307 W HWY 4 3307 W HIGHWAY 4 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-937-8750 209-937-8750 102 <br /> Facility mailing address 2500 NAVY DR 2500 NAVY DR 108a <br /> STOCKTON, CA 95206-1147 STOCKTON, CA 95206-1147 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name City of Stockton - MUD City of Stockton - MUD 140 <br /> Address 2500 Navy Drive 2500 Navy Drive 143 <br /> Stockton, CA 95206 Stockton, CA 95206 144, 145, 146 <br /> Contact phone 209-937-8750 209-937-8750 141 <br /> Contact email 142 <br /> Mail invoices to <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> al <br /> Processed through CERS Integration Wizard by: Date: 1Y 16 A`'� <br /> ^ <br /> Accounting: Reviewed by: � Date: 1 ( � Clerical: ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ---------- -- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PRO519672 ROBERT LOPEZ Active [ ] 1 ] <br /> 1963-CaIARP PROGRAM 3 FACILITY PR0514595 RAYMOND VON FLUE Active <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PRO518943 HAZ MAT SJC OES Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO513863 STACY RIVERA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509481 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO528506 STACY RIVERA Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532769 not assigned Inactive [ ] [ ] <br />