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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: 1/2/2018 4:05:37PM <br />Submitted by: Kim Gregory Email: kgregory@calwater.com <br />CERS ID: 10187877 <br />Facility ID in CERS: FA0021404 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />3120 WEST LN <br />Number of Facilities for this Owner : 22 <br />City <br />STOCKTON <br />Owner ID <br />OW0003627 <br />ZIP code <br />95204 <br />Owner name <br />California Water Service Company <br />California Water Service Company <br />111 <br />Mailing address <br />1720 North First St. <br />1720 North First St. <br />113 <br />1602 E. Lafayette St.' <br />San Jose, CA 95112 <br />San Jose, CA 95112 <br />114, 115, 116 <br />Work phone <br />408-367-8200 <br />(408) 367-8200 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021404 <br />Facility name <br />CALIFORNIA WATER SERVICE CO - STK' <br />California Water Service Co. - STK 77 <br />3 <br />Site address <br />3120 WEST LN <br />3120 WEST LN <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />95204 <br />95204 <br />105 <br />Facility phone <br />209-547-7900 <br />(209) 547-7900 <br />102 <br />Facility mailing address <br />1602 E. Lafayette St.' <br />1602 E. Lafayette St.' <br />108a <br />95205, CA 95205 <br />95205, CA 95205 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />CALIFORNIA WATER SERVICE CO - STK <br />California Water Service Company <br />140 <br />Address <br />1602 E. Lafayette St.' <br />1720 North First St. <br />143 <br />95205, CA 95205 <br />San Jose, CA 95112 <br />144, 145, 146 <br />Contact phoneol�t <br />Specified <br />(408) 367-8200 <br />141 <br />Contact email <br />142 <br />Mail invoices to <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 />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: 0)v-" rZ Date: <br />Accounting: Reviewed by: Li? Date: �( Clerical: [ ]File [ ]Relabel file [ ]Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMP -Regular -Primary Location 1 chem units PR0537288 ROBERT LOPEZ Active I I I I <br />