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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 117/2015 <br /> Submitted on: 1/2/2015 2:48:03PM <br /> Submitted by: Christopher Locke Email: chris@a lockeranch.com CERS ID: 10185505 <br /> Facility ID in CERS: FA0016$49 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013690 <br /> Owner name LOCKE RANCH LLC LOCKE RANCH LLC 111 <br /> Mailing address PO BOX 811 PO BOX 811 113 <br /> LOCKEFORD, CA 95237 LOCKEFORD, CA 95237 114, 115, 11E <br /> Work phone 209-727-5868 112 <br /> FACILITY FILE INFORMATION' <br /> Facility ID FA0016849 <br /> Facility name LOCKE RANCH LLC LOCKE RANCH LLC 3 <br /> Site address 12951 LOCKE RD 12951 LOCKE RD 103 <br /> City LOCKEFORD 104 <br /> ZIP code 95237 95237 105 <br /> Facility phone 209-727-5868 (209) 727-5868 0 102 <br /> Facility mailing address PO BOX 811 LOCKEFORDPO BOX 811 108a <br /> LOCKEFORD, CA 95237 LOCKEFORD, CA 95237 108b,1aea,toe <br /> BILLING INFORMATION <br /> Contact name LOCKE RANCH LLC LOCKE RANCH LLC 140 <br /> Address PO BOX 811 PO BOX 811 143 <br /> LOCKEFORD, CA 95237 LOCKEFORD, CA 95237 144, 145, 14E <br /> Contact phone Not Specified 209-481-3242 141 <br /> Contact email Chris@lockeranch.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: _4/`j Date: <br /> Accounting: Reviewed by: Date: / Clerical: [ J File [ J Relabel file [ ] Create new file <br /> [ J Acct billed [ J Surcharge verified B <br /> .� _ y: 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 PR0525034 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONS/YR PR0538515 ARES VELOSO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533956 not assigned Inactive ( ] [ ] <br />