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E:: SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS integration Wizard <br /> Date run: 4/26/2017 <br /> Submitted on: 3/16/2017 1:29:26PM <br /> Submitted by: JAMES MURRAY Email: JMURRAY@CHP.CA.GOV CERS ID: 41 <br /> Facility ID in CERS: FA0023A0023343 <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 OW0021571 <br /> Owner name SJ Valley, LP SJ Valley, LP 111 <br /> Mailing address 528 Third Street 528 Third Street 113 <br /> West Sacramento, CA 95605 West Sacramento, CA 95605 114, 115, 116 <br /> Work phone 916-374-1662 916-374-1662 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023343 <br /> Facility name California Highway Patrol-Stockton California Highway Patrol - Stockton 3 <br /> Site address 2720 Wilcox Rd 2720 Wilcox Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-938-4800 (209) 938-4800 102 <br /> Facility mailing address 2720 Wilcox Road 2720 Wilcox Road 108a <br /> Stockton, CA 95215 Stockton, CA 95215 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name California Highway Patrol California Highway Patrol 140 <br /> Address P.O. Box 942898 P.O. Box 942898 143 <br /> Sacramento, CA 94298 Sacramento, CA 94298 144, 145, 146 <br /> Contact phone 916-843-3800 (916) 843-3800 141 <br /> Contact email edepaola@chp.ca.gov edepaola@chp.ca.gov 142 <br /> Mai[ invoices to Account <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: (954h 3 <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 22-20 <br /> Assigned to: 1;iun.% p}`afila <br /> Please bill: [ ] full calendar year [ ] prorate <br /> this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ✓�rl Date: <br /> Accounting: Reviewed by: Lh Date: 6'1741 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ cct billed [ Surchar a verified <br /> - - -- f � - � g �--._ -- - - By� Date. <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record 1D Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary location 5 chem units PR0540836 JAMIE LIMA Active [ ] [ <br /> 2832-AST FAC 10 K-</=100 K GAL CUMULATIVE PRO540837 ELIANNA FLORIDO Active [ [ } <br /> f ,fA A J e t7_9? f <br />