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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/23/2014 <br /> Submitted on: 12/22/2014 1:18:44PM CERS ID: 10185693 <br /> Submitted by: Wayne Bruns Email: cwnuts@yahoo.com Facility ID in CERS: FA0016966 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013807 <br /> Owner name WAYNE & CAROL BRUNS WAYNE & CAROL BRUNS 111 <br /> Mailing address 15322 E HWY 120 15322 E HWY 120 113 <br /> RIPON, CA 95366 RIPON, CA 95366 114, 115, 11e <br /> Work phone 209-456-6249 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016966 <br /> Facility name WAYNE & CAROL BRUNS WAYNE & CAROL BRUNS 3 <br /> Site address 18585 E MELLO AVE 18585 E MELLO AVE 103 <br /> City RIPON 104 <br /> ZIP code 95366 95366 105 <br /> Facility phone 209-456-6249 (209)456-6249 102 <br /> Facility mailing address 15322 E HWY 120 RIPON 15322 E HWY 120 108a <br /> RIPON, CA 95366 RIPON, CA 95366 10eb,10ac.toe <br /> BILLING INFORMATION <br /> Contact name WAYNE & CAROL BRUNS WAYNE &CAROL BRUNS 140 <br /> Address 15322 E HWY 120 15322 E HWY 120 143 <br /> RIPON, CA 95366 RIPON, CA 95366 144, 145, 14f <br /> Contact phone Not Specified 209.456-6249 141 <br /> Contact email 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: /Ir Date: Iz <br /> Accounting: Reviewed by: �,Y5 Date: 12 30 1 Clerical: [ ] 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 PRO525151 MICHAEL PARISSI Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO529944 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533800 not assigned Inactive [ ] [ ] <br />