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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/30/2018 <br />Submitted on: 4/19/2018 9:51:10AM CERS ID: 10669696 <br />Submitted by: Suzanne Chaewsky Email: suzanne.chaewsky@cbrands.com Facility ID in CERS: FA0023574 <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 />OW0021870 <br />Constellation Brands, Inc. <br />116 Buffalo Street <br />Canandiagua, NY 14424 <br />585-396-7600 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0023574 <br />Facility name <br />CBUSO dba Twin Creeks Vineyard <br />Site address <br />14151 Liberty Rd <br />City <br />Galt <br />ZIP code <br />95632 <br />Facility phone <br />530-662-8364 <br />Facility mailing address 26836 County Road 12A <br />Esparto, CA 95627 <br />BILLING INFORMATION <br />Contact name Rod Scheaffer <br />Address 26836 County Road 12A <br />Esparto, CA 95627 <br />Contact phone 530-662-8364 <br />Contact email rod.scheaffer@cbrands.com <br />Mail invoices to Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Constellation Brands, Inc. <br />111 <br />116 Buffalo Street <br />113 <br />Canandiagua, NY 14424 <br />114, 115, 116 <br />(585) 396-7600 <br />112 <br />CBUSO dba Twin Creeks Vineyard <br />3 <br />14151 Liberty Rd <br />103 <br />Galt <br />104 <br />95632 <br />105 <br />(530) 662-8364 <br />102 <br />Grape Management Office, 5950 E. Woodbri 108a <br />Acampo, CA 95220 108b, 108c, 108d <br />John Gonsalves 140 <br />Grape Management Office, 5950 E. Woodbri 143 <br />Acampo, CA 95220 144, 145, 146 <br />(209) 610-3212 141 <br />john.gonsalves(a)cbrands.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: a,) "L>— Date: lq� <br />Accounting: Reviewed by: 116 Date: '/ /I D / � Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1958 - HM -Farm Operations 1 chem units PR0541168 MUNIAPPA NAIDU Active i I I I <br />