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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/18/2016 <br /> Submitted on: 3/312016 9:45:19AM CERS ID: 10186815 <br /> Submitted by: Camila Hernandez Email chernandez@corto-olive.com Facility ID 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 111 <br /> Mailing address 11292 N ALPINE RD 11292 N ALPINE RD 113 <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 114, 115, 116 <br /> Work phone 209-365-4512 (209) 365-4512 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FAC018163 <br /> Facility name CORTO OLIVE CORTO OLIVE 3 <br /> Site address 10201 E LIVE OAK RD 10201 E LIVE OAK RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95212 95212 105 <br /> Facility phone 209-888-8100 (209) 888-8100 102 <br /> Facility mailing address 11292 N ALPINE RD 11292 N ALPINE RD 108a <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 108b, 108c,load <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) 3654513 141 <br /> Contact email colson@corto-olive.com colson@corto-olive.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP ] SQG HW [ ] LQG HW [ ] RCRAHW New PR#: LA t DOG <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 12— <br /> Assigned to: Ulv Wsu <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: W' " Date: <br /> ---------------------------- <br /> Accounting: Reviewed by: t15 Date: 0–bP/I L Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct billed [ d 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 /> 1921 -HMBP-Regular-Primary Location PR0526806 JAMIE DE LA ROSA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533020 not assigned Inactive [ ] [ ] <br />