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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7191205 <br /> Submitted on: 6!2212015 11:23:24AM CERS ID: 14614337 <br /> Submitted by: juan Calderon Email juan.calderon@broncowine.com <br /> Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013840 <br /> Owner name J&D VINEYARDS JD VINEYARDS - WEST COAST GRAPE F 111 <br /> Mailing address 15466 LINN RD P.O. BOX 488 113 <br /> LODI, CA 95240 CERES, CA 95307 114, 115, 116 <br /> Work phone 209-272-3000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016999 <br /> Facility name J&D VINEYARDS JD Vineyards-West Coast Grape Farminc 3 <br /> Site address 23201 N RAY RD 23201 N Ray Rd 103 <br /> City LODI Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-334-6072 209-272-3000 102 <br /> Facility mailing address 15466 LINN RD P.O. BOX 488 108a <br /> LODI, CA 95240 CERES, CA 95307 108d, 108c, 1084 <br /> BILLING INFORMATION <br /> Contact name J&D VINEYARDS FRANK CANELA 140 <br /> Address 23201 N RAY RD P.O. BOX 488 143 <br /> LODI, CA 95242 CERES, CA 95307 144. 145, 146 <br /> Contact phone Not Specified 209-272-3035 141 <br /> Contact email frank.canela@broncowine.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP $41 SQG HW j ] LQG HW [ ] RCRA HW New PR#: 4 6q <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE, a �U <br /> Assigned to: p.`s X75 c} <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ) exempt from billing <br /> Processed through CERS Integration Wizard by: Date: f <br /> Accounting: Reviewed by: �:r'/, Date: 7 I'll Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct billed [ rgevers ied <br /> By: Date; <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2830-AST FAG -SPCC EXEMPT PRO530408 ARIS VELOSO Active, Exempt <br /> 1958-HM-Farm Operations PR0525184 JAMIE DE LA ROSA Inactive I i <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533170 not assigned Inactive [ I [ I <br /> d aadecl- Aaa(--) sw gal <br /> At)`iVl,)-t . <br />