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SAN JOAQUIN-COUNTY ENVIRONMENTAL HEALTHH-vEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/23/2015 <br /> Submitted on: 215/2015 2:03:15PM CERS ID: 10185537 <br /> Submitted by: John Almeida Email: Annealmeida1969@ia aol.com Facility ID in CERS: FA0016867 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013708 <br /> Owner name ALMFIDA FARMS ALMEIDA FARMS 111 <br /> Mailing address PO BOX 296 PO BOX 296 113 <br /> HILMAR, CA 95324 HILMAR, CA 95324 114, 115, 116 <br /> Work phone 2096569595 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016867 <br /> Facility name ALMEIDA FARMS ALMEIDA FARMS 3 <br /> Site address 25141 S FREDERICK 25141 S FREDERICK 103 <br /> City RIPON RIPON 104 <br /> ZIP code 95366 95366 105 <br /> Facility phone 209-656-9595 (209) 656-9595 0 102 <br /> Facility mailing address PO BOX 296 PO BOX 296 108a <br /> HILMAR, CA 95324 HILMAR, CA 95324 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ALMEIDA FARMS ALMEIDA FARMS 140 <br /> Address 25141 S FREDERICKS 25141 S FREDERICKS 143 <br /> RIPON, CA 95366 RIPON, CA 95366 144, 145, 146 <br /> Contact phone Not Specified 2096569595 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 [ ] 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: 7 '` t Date: <br /> Accounting: Reviewed by: IA�> Date: 317-5h)1 Clerical: [ ] File [ ] Relabel file [ j Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Des cri tion Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525052 MICHAEL PARISSI Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO530167 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531443 not assigned Inactive [ 1 [ 1 <br />