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SAN JOAGIUIrv-,:OUNTY ENVIRONMENTAL HEALTF,-OEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Dater T x/2014 <br /> Submitted on: 2/28/2014 2:33:42PM CERS ID: 10186353 <br /> Submitted by: Vernon Hendley Email: vernhendley@gmail.com Facility ID in CERS: FAD017374 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014215 <br /> Owner name LONETREE RANCH (VERNON HENDLEY LONETREE RANCH (VERNON HENDLEY 111 <br /> Mailing address 16590 MURPHY RD 555 BOB WAY 113 <br /> ESCALON, CA 95320-9754 RIPON, CA 95366-9587 114, 115, 116 <br /> Work phone 209-613-4767 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017374 <br /> Facility name LONETREL RANCH (VERNON HENDLEY LONETREE RANCH (VERNON HENDLEY) 3 <br /> Site address 18281 LONE TREE RD 18281 LONE TREE RD 103 <br /> City FSCALON ESCALON 104 <br /> Zip code 95320 95320 105 <br /> Facility phone 209-613-4767 (209) 613-4767 0 102 <br /> Facility mailing address 16590 MURPHY RD 16590 Murphy Road 108a <br /> ESCALON, CA 95320-9754 Escalon, CA 95320 108b,108c.108d <br /> BILLING INFORMATION <br /> Contact name LONETREE RANCH (VERNON HENDLEY LONETREE RANCH (VERNON HENDLEY) 140 <br /> Address 16590 MURPHY RD 555 BOB WAY 143 <br /> ESCALON, CA 95320-9754 RIPON, CA 95366-9587 144, 145, 146 <br /> Contact phone Not Specified 209-613-4767 141 <br /> Contact email 142 <br /> Mail invoices to -Owner ncelr I-II <br /> Program record [ ] HMBP [ ] SOG H [ j LOG HW [ ] RCRA HW New PFS#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ J UST New PE: <br /> Assigned to: <br /> Please bill: [• ] full calendar year [ ] prorate this calendar year [ J next calendar year [ J exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: _N_ <br /> Reviewed b Date: Clerical: File I Relabel file Create new file <br /> r 1 char^ i 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 PRO525559 not assigned Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0529969 ELENA MANZO Active, Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO534350 not assigned Inactive [ ] [ ] <br />