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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/1/2015 <br /> Submitted on: 3/13/2015 8:57:23AM CERS ID: 10181787 <br /> Submitted by: Dwayne Heckenlaible Email: chardonnay@clearwire.net Facility ID in CERS: FA0005283 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004139 <br /> Owner name Julia Heckenlaible Julia Heckenlaible 111 <br /> Mailing address 14117 North Locust Tree Road 14117 North Locust Tree Road 113 <br /> Lodi, CA 95240 Lodi, CA 95240 114, 115, 116 <br /> Work phone 209-993-0820 209 993 0820 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005283 <br /> Facility name ERNEST HECKENLAIBLE ERNEST HEKENLAIBLE 3 <br /> Site address 14117 N LOCUST TREE RD 14117 N LOCUST TREE RD 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-993-0819 (209) 993 0819 102 <br /> Facility mailing address 14117 North Locust Tree Road 14117 North Locust Tree Road 108a <br /> Lodi, CA 95240 Lodi, CA 95240 108b, 108c,1084 <br /> BILLING INFORMATION <br /> Contact name ERNEST HECKENLAIBLE Heckenlaible Farms 140 <br /> Address 14117 North Locust Tree Road 14117 North Locust Tree Road 143 <br /> Lodi, CA 95240 Lodi, CA 95240 144, 145, 146 <br /> Contact phone Not Specified 209 993 0819 141 <br /> Contact email chardonnay@clearwire.net / chardonnay@clearwire.net 142 <br /> Mail invoices to V <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ j prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: V4-j Date: L1- I. I <br /> Accounting: Reviewed by:-Date: VV 1 J Clerical: 7' 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 PR0525804 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0529482 ARTS VELOSO Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO529481 ARTS VELOSO Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PRO501961 STEVE SASSON Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531745 not assigned Inactive [ ] [ ] <br />