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E__ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014] <br /> Submitted on: 2/18/2014 4:34:43PM CERS ID: 10181747 <br /> Submitted by: JERRY FERRERO Email: FerreroVydslncc@wildblue.net Facility ID in CERS: FA0005156 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004029 <br /> Owner name FERRERO, JOHNNY JR FERRERO, JENNIE 111 <br /> Mailing address 21315 N DEVRIES RD 21315 N DEVRIES RD 113 <br /> LODI, CA 95242 LODI, CA 95242 114, 115, 116 <br /> Work phone 09-334-6080 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005156 <br /> Facility name FERRERO VINEYARDS INC FERRERO VINEYARDS INC 3 <br /> Site address 21315 N DE VRIES RD 21315 N DE VRIES RD 103. <br /> City LODI LODI 104 <br /> Zip code 95240 95240 105 <br /> Facility phone 209-334-6080 (209) 334-6080 102 <br /> Facility mailing address 21315 N DEVRIES RD 21315 N DEVRIES RD 108a <br /> LODI, CA 95242 LODI, CA 95242 108b,106c,108d <br /> BILLING INFORMATION <br /> Contact name FERRERO VINEYARDS INC FERRERO VINEYARDS INC 140 <br /> Address 21315 N DEVRIES RD 21315 N DEVRIES RD 143 <br /> LODI, CA 95242 LODI, CA 95242 144, 145, 146 <br /> Contact phone Not Specified 209-334-6080 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record I ] HMBP [ ] SQG 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 b : �Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ <br /> Ac v if] illed [ ] Sure e r� e 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 PRO525863 not assigned Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PRO501591 Fatina Zareet Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO529590 ARIS VELOSO Active, Exempt [ ] [ ] <br />