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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 511812016 <br /> Submlrtted on: 31312096 9:45:'19AM CERS ID: 10186815 <br /> Submitted by: Camila Hernandez Email: chernandez@corto-olive.com <br /> Facility !D in CERS: FA0018163 <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: 1 <br /> Owner ID OW0014906 <br /> Owner name CORTOPASSI PARTNERS CORTOPASSI PARTNERS <br /> Mailing address 11292 N ALPINE RD 11292 N ALPINE RD 111 <br /> 113 <br /> STOCKTON, CA 95212 <br /> Work phone 209-365-4512 STOCKTON, CA 95212 114, 115, Its <br /> (209) 365-4512 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018163 <br /> Facility name CORTO OLIVE CORTO OLIVE <br /> Site address 10201 E LIVE OAK RD 10201 E LIVE OAK RD 03 3 <br /> 1 <br /> City STOCKTON STOCKTON <br /> ZIP code 95212 95212 104105 <br /> Facility phone 209-888-8100 (209) 888-8100 102 <br /> Facility mailing address 11292 N ALPINE RD 11292 N ALPINE RD <br /> STOCKTON, CA 95212 10 <br /> STOCKTON, CA 95212 108b,iosc,�,goad <br /> BILLING INFORMATION <br /> Contact name Carol Olson Carol Olson 140 <br /> Address 11292 N ALPINE RD 11292 N ALPINE RD 143 <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 144, 145, 146 <br /> Contact phone 209-365-4513 (209) 365-4513 <br /> Contact email Colson@corto-olive.com colson@corto-olive.com 141 <br /> 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: , I4-oS4 4 D0b <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 'L2 LU <br /> Assigned to: W DC7 <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Vl/> l Date: 1�I l K,t b <br /> Accounting: Reviewed by: Date: �r�ll L Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct biNed [��eaceri#ied <br /> -- — -- -- -- — _. (� — --BY-- —` Date` <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW --- _ <br /> Pro ram Element and Descri tion Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Prfmary Location PRO526806 JAMIE DE LA ROSH Active I � d <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533020 not assigned Inactive t I <br /> L"4 7q 3a 7 <br />