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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT P Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/17/2014 <br /> Submitted on; 311412014 3:27:23PM Py <br /> 6803 CERS ID: 1018 <br /> Submitted by: Jeff Ferrari Email:jeff@ferrarifarms.comCO Facility ID in CERS: 018 8155 <br /> Information prior to Cita processing RM <br /> Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014898 [ RP /� A15 1 <br /> Owner name FERRARI FARMS INC r aynrfuT 111 <br /> Mailing address 17071 E BAKER RD 17071 E BAKER RD 113 <br /> LINDEN, CA 952369708 LINDEN, CA 95236-9708 114, 115, 116 <br /> Work phone 209-887-3906 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018155 <br /> Facility name FERRARI FARMS INC FERRARI FARMS INC 3 <br /> Site address 5885 N ARCHFRDALE RD 5885 N ARCHERDALE RD 103 <br /> City LINDEN LINDEN 104 <br /> Zip code 95236 95236 105 <br /> Facility phone 209-887-3906 (209) 887-3906 0 102 <br /> Facility mailing address 17071 E BAKER RD 17071 E BAKER RD 108a <br /> LINDEN, CA 952369708 LINDEN, CA 95236-9708 108b,108c,lard <br /> BILLING INFORMATION <br /> Contact name FERRARI FARMS INC FERRARI FARMS INC 140 <br /> Address 17071 E BAKER RD 17071 E BAKER RD 143 <br /> LINDEN, CA 95236 LINDEN, CA 95236 144, 145, 146 <br /> Contact phone Not Specified 209-887-3603 141 <br /> Contact email jeff@ferrarifarms.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: <br /> Accounting: Reviewed by: _ Date: Clerical: File [ ] Relabel file [ ) Create new file <br /> [ l Acqt40e'd [ ] Surch erifled / By: _ Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and DescriptionRecord ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations _ PR0526798 not assigned Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0532648 not assigned Inactive [ ] [ ] <br />