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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/10/2015 <br /> Submitted on: 3/17/2015 12:11:15PM CERS ID: 10185465 <br /> Submitted by: Greg Arnaudo Email gregarnaudo@att.net Facility ID in CERS: FA0016821 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013662 <br /> Owner name ARNAUDO BROS TEMPLE CREEK ARNAUDO BROS TEMPLE CREEK 111 <br /> Mailing address 16505 S TRACY BLVD 16505 S TRACY BLVD 113 <br /> TRACY, CA 95376 TRACY, CA 95376 114, 115, 116 <br /> Work phone 209-835-0406 209-835-0406 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016821 <br /> Facility name ARNAUDO BROS TEMPLE CREEK ARNAUDO BROS TEMPLE CREEK 3 <br /> Site address 11505 E FRENCH CAMP RD 11505 french camp rd 103 <br /> City Tracy manteca gk )-U P-e"5;5 104 <br /> ZIP code 95304 95336 f,,, W /k) 105 <br /> Facility phone 209-835-0406 (209) 835-0406 0 102 <br /> Facility mailing address 16505 S TRACY BLVD 16505 S TRACY BLVD 108a <br /> TRACY, CA 95376TRACY, CA 95376 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name TEMPLE CREEK RANCH TEMPLE CREEK RANCH 140 <br /> Address 16505 S TRACY BLVD 16505 S TRACY BLVD 143 <br /> TRACY, CA 95376 TRACY, CA 95376 144, 145, 146 <br /> Contact phone 209-835-0406 2091835-0406 141 <br /> Contact email gregarnaudo@att.net 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG 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 caGendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: _ Date: <br /> Accounting: Reviewed by: ( rJ Date: fZlI Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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 PRO525006 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0530202 ELENA MANZO Active [ ] [ ] <br /> 2830-AST FAG -SPCC EXEMPT PR0530201 ELENA MANZO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532474 not assigned Inactive [ ] [ ] <br />