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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to FnvisionConnect by CERS Integration Wizard <br /> Date run: 3I9f2015 <br /> Submitted on: 1/13/2015 9:52:04AM CERS ID: 10185487 <br /> Submitted by: Gary Bohnet Email: pbmoffice@yahoo.com Facility ID in CERS: FA0016838 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013679 <br /> Owner name GARY BOHNET GARY BONNET 111 <br /> Mailing address 19601 N BUCK RD 6448 E PINE ST 113 <br /> ACAMPO, CA 95220-9753 LODI, CA 95240 114, 115, 116 <br /> Work phone 209-369-6993 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016838 <br /> Facility name GARY BOHNFT GARY BOHNET 3 <br /> Site address 6448 E PINE ST 6448 E PINE ST 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-369-6993 (209) 369-6993 0 102 <br /> Facility mailing address 19601 N BUCK RD 6448 E PINE ST 108a <br /> ACAMPO, CA 95220-9753 LODI, CA 95240 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name GARY BOHNET GARY BONNET 140 <br /> Address 19601 N BUCK RD 19601 N. Buck Rd 143 <br /> ACAMPO, CA 95220-9753 Acampo, CA 95220 144, 145, 146 <br /> Contact phone Not Specified 209-369-6993 141 <br /> Contact email 142 <br /> Mail invoices to --0pner. +f" <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 [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: I bin. Date: h`�5 <br /> Accounting: Reviewed by: L�Date: 3 !fc 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 PRO525023 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0530534 ARIS VELOSO Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0530529 ARIS VELOSO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533559 not assigned Inactive [ ] [ ] <br />