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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date_ run: 11/25/2014 <br /> Submitted on: 11/21/2014 9:25:51AM CERS ID: 10185497 <br /> Submitted by: GLENN HANDEL Email: ALPINESKINNY@AOL.COM Facility ]Din CERS: FA0016844 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013685 <br /> Owner name HM&R RANCH HM&R RANCH 111 <br /> Mailing address 13317 N ALPINE RD 13317 N ALPINE RD 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115, 11E <br /> Work phone (209) 369-6495 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016844 <br /> Facility name HM&R RANCH HM&R RANCH 3 <br /> Site address 13317 N ALPINE RD 13317 N ALPINE RD 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-369-6495 (209) 369-6495 102 <br /> Facility mailing address 13317 N ALPINE RD 13317 N ALPINE RD 108a <br /> LODI, CA 95240 LODI, CA 95240 108e, 108c.10E <br /> BILLING INFORMATION <br /> Contact name HM&R RANCH HM&R RANCH 140 <br /> Address 13317 N ALPINE RD 13317 N ALPINE RD 143 <br /> LODI, CA 95240 LOD], CA 95240 144, 145, 14f <br /> Contact phone Not Specified (209) 369-6495 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PRf#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST 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: Date: !I 1.7—t iw ` <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file ( ] Create new file <br /> [ ] A Illed ] Surcl�g�ve jei By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PRO525029 not assigned Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO529007 ARTS VELOSO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F1 PR0533880 not assigned Inactive [ ] ( ] <br />