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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 2/17/2017 <br />Submitted on: 2/16/2017 2:16:41 PM <br />Submitted by: salina soto Email: ssoto@cvaggrinding.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0016184 <br />Paul Konzen <br />5509 langworth rd <br />oakdale, CA 95361 <br />209-524-2675 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0019727 <br />Facility name <br />CAPITAL FEED <br />Site address <br />807 CROMWELL AVE <br />City <br />STOCKTON <br />ZIP code <br />95203 <br />Facility phone <br />209-466-3333 <br />Facility mailing address <br />5509 langworth rd <br />5707 langworth rd <br />oakdale, CA 95361 <br />BILLING INFORMATION <br />144, 145, 146 <br />Contact name <br />Alyssa Chappell <br />Address <br />5707 langworth rd <br />HARPRIT MATTU <br />oakdale, CA 95361 <br />Contact phone <br />209-284-2164 <br />Contact email <br />achappell@cv-ag.com <br />Mail invoices to <br />Account <br />CERS ID: 10187375 <br />Facility ID in CERS: FA0019727 <br />Information after CIW processing CERS <br />(current submittal) field <br />Paul Konzen 111 <br />5509 langworth rd 113 <br />oakdale, CA 95361 114, 115, 116 <br />209-524-2675 112 <br />Pinnacle Ag 3 <br />807 CROMWELLAVE 103 <br />STOCKTON 104 <br />95203 105 <br />209-466-3333 102 <br />5509 langworth rd 108a <br />oakdale, CA 95361 108b, 108c, 1084 <br />Alyssa Chappell <br />140 <br />5707 langworth rd <br />143 <br />oakdale, CA 95361 <br />144, 145, 146 <br />209-284-2164 <br />141 <br />achappell@cv-ag.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: <br />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: OA Date: ', t I <br />Accounting: Reviewed by: Date: �i �� Clerical: [ ] File [ ] Relabel file <br />[ ] Acct billed [ ] Surcharge verified By: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />[ ] Create new file <br />Date: <br />Reactivated Inactivated <br />[ ] [ ] <br />[ ] [ ] <br />[ ] [ ] <br />Record ID <br />Employee name <br />Status <br />1921 - HMBP-Regular-Primary Location 3 chem units <br />PR0529890 <br />ROBERT LOPEZ <br />Active <br />4740 - WASTE TIRE SITE - EXEMPT <br />PR0540045 <br />HARPRIT MATTU <br />Active <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0535274 <br />not assigned <br />Inactive <br />