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E- SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to FnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 2/11/2014 1:38:27PM CERS ID: 10181821 <br /> Submitted by: richard lagorio Email: farmdocl@averizon.net Facility ID in CERS: FA0005400 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004241 <br /> Owner name LAGORIO, JAMES A LAGORIO, JAMES A 111 <br /> Mailing address 155 N DUNCAN RD 155 N DUNCAN RD 113 <br /> LINDEN, CA 95236 LINDEN, CA 95236 114, 115, 116 <br /> Work phone 209 463-7073 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005400 <br /> Facility name JAMES A LAGORIO JAMES A LAGORIO 3 <br /> Site address 155 N DUNCAN RD 155 N DUNCAN RD 103 <br /> City LINDEN LINDEN 104 <br /> Zip code 95236 95236 105 <br /> Facility phone 209-463-7073 (209) 463-7073 0 102 <br /> Facility mailing address 155 N DUNCAN RD 155 N DUNCAN RD 108a <br /> LINDEN, CA 95236 LINDEN, CA 95236 108b,1082,108d <br /> BILLING INFORMATION <br /> Contact name JAMES A LAGORIO JAMES A LAGORIO 140 <br /> Address 155 N DUNCAN RD 155 N DUNCAN RD 143 <br /> LINDEN, CA 95236 LINDEN, CA 95236 144, 145, 146 <br /> Contact phone Not Specified 209 463-7073 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: 4 ' <br /> Accounting: Reviewed by _-ja Date:�, Clerical. [ ] File [ ] Relabel file [ ] Create new file <br /> Acc ' ed Surchar erlfi` t 'ed 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 PR0525878 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONS/YR PRO530568 JEFFREY WONG Active [ ] [ ] <br /> 2332-EXEMPT TANK FACILITY PR0502318 STEVE SASSON Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRD530567 JEFFREY WONG Active, Exempt [ ] [ ] <br />