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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: 12131/2013 2:52:22PM CERS ID: 10181819 <br /> Submitted by: Steve Lagomarsino Finail: scl2csl@aol-cotrl <br /> Facility ID in CERS: FA0005399 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004240 <br /> Owner name LAGOMARSINO BROS LAGOMARSINO BROS 111 <br /> Mailing address 5610 E MAIN ST 5610 E MAIN ST 913 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114 115, 116 <br /> Work phone 209-479-3086 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005399 <br /> Facility name LAGOMARSINO BROS LAGOMARSINO BROS 3 <br /> Site address 6040 E MAIN ST 6040 E MAIN ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 209-941-9656 (209) 941-9656 0 102 <br /> Facility mailing address 5610 F MAIN ST 5610 F MAIN ST 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,1080,108d <br /> BILLING INFORMATION <br /> Contact name LAGOMARSINO BROS LAGOMARSINO BROS 140 <br /> Address 5610 L MAIN ST 5610 E MAIN ST 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone 209-941-9656 209.479-3086 141 <br /> Contact email 142 <br /> Mail invoices to Owner " <br /> Program record [ ] HMBP [ ] SOG 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: 2UVL Date: � � <br /> Accounting: Reviewed by: Dater `f' Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] AcqtbrMed [ ] Surcha verifi d By: Date <br /> ——-_ —— -- — �— — <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 PR0525824 not assigned Active [ ] [ <br /> 2220-SM HW GEN<5 TONS/YR PR0530716 JEFFREY WONG Active [ ] [ <br /> 2333-FARM UST#1 FACILITY-obsolete PRO502316 LETITIA BRIGGS Inactive <br /> 2830-AST FAC -SPCC EXEMPT PR0530715 JEFFREY WONG Active, Exempt [ ] [ I <br />