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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 3/14/2014 11:43:17AM 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 HEKENLAIBLE, DWAYNE Julia Heckenlaible 111 <br /> Mailing address 14117 N LOCUST TREE RD 14117 North Locust Tree Road 113 <br /> LODI, CA 95240 Lodi, CA 95240 114, 115, 116 <br /> Work phone 209 993 0820 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005283 <br /> Facility name HECKENLAIBLE FARMS INC 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 209-368-6173 (209) 993 0819 102 <br /> Facility mailing address 14117 N LOCUST TREE RD 14117 North Locust Tree Road 108a <br /> LODI, CA 95240 Lodi, CA 95240 10eb, 108c,coed <br /> BILLING INFORMATION <br /> Contact name HECKENLAIBLE FARMS INC Heckenlaible Farms 140 <br /> Address 14117 N LOCUST TREE RD 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 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: Date: <br /> Accounting: Reviewed b �� Dater / Clerical: [ ] File [ ] Relabel file —[ ] Create new file <br /> [ ] Acc llled [ ] Surch eve ified 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 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0529482 ARIS VELOSO Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PR0501961 STEVE SASSON Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0529481 ARIS VELOSO Active, Exempt [ ] [ ] <br />