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SAN JOAQLWOUNTY ENVIRONMENTAL HEAL PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7!1112014 <br /> Submitted on: 4/18/2014 8:09:50AM CERS ID: 10480261 <br /> Submitted by: Kim Gregory Email: kgregory@calwater.com Facility ID in CERS: <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0018571 <br /> Owner name California Water Service Company California Water Service Company 111 <br /> Mailing address 1720 North First St. 1720 North First St. 113 <br /> San Jose, CA 95112 San .lose, CA 95112 114, 115, 116 <br /> Work phone 408-367-8200 (408) 367-8200 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022291 <br /> Facility name California Water Service Co. -STK 60 California Water Service Co. - STK 60 3 <br /> Site address 436 Woodstock Dr 436 Woodstock Dr 103 <br /> City Stockton Stockton 104 <br /> Zip code 95207 95207 105 <br /> Facility phone 209-547-7900 (209) 547-7900 102 <br /> Facility mailing address 1602 E. Lafayette St. ' I 1602 E. Lafayette St. 108a <br /> Stockton, CA 95205 Stockton, CA 95205 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name California Water Service Company California Water Service Company 140 <br /> Address 1720 North First St. 1720 North First St, 143 <br /> Stockton, CA 95112 Stockton, CA 95112 144, 145, 146 <br /> Contact phone 408-367-8200 (408) 367-8200 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: s�31�221 <br /> created [ ] Tiered permit [ } APSA [ ] CalARP [ ] UST New PE: Z <br /> ZO <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: fill Date: <br /> Accounting: Reviewed by: V)Date: (711r,LT Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: — Date_— <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> not assigned <br />