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SAN JOAQUir* COUNTY ENVIRONMENTAL HEALTH—VEPARTMENT <br /> Changes to EnvisionConnect by CERS. Integration Wizard <br /> Date run: 3f10/2015 <br /> Submitted on: 119!2015 10:30:02AM CERS ID: 10185683 <br /> Submitted by: George Veldstra Email: hveldstra@aol.com Facility ID in CERS: FA0016960 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013801 <br /> Owner name VEL-EN FARMS VEL-EIV FARMS 111 <br /> Mailing address 310 N FLORES CT 310 N FLORES CT 113 <br /> MANTECA, CA 95336 MANTECA, CA 95336 114, 115, 116 <br /> Work phone 209-823-5380 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016960 <br /> Facility name VEL-EN FARMS VEL-EN FARMS 3 <br /> Site address 11901 WEST RIPON RD 11901 WEST RIPON RD 103 <br /> City RIPON RIPON 104 <br /> ZIP code 95366 95366 105 <br /> Facility phone 209-823-5380 209-823-5380 102 <br /> Facility mailing address 310 N FLORES CT 310 N FLORES CT 108a <br /> MANTECA, CA 95336 MANTECA, CA 95336 108b. 108c,108d <br /> BILLING INFORMATION <br /> Contact name VEL-EN FARMS VEL-EN FARMS 140 <br /> Address 310 FLORES CT 310 FLORES CT 143 <br /> MANTECA, CA 95336 MANTECA, CA 95336 144, 145, 146 <br /> Contact phone Not Specified 209-8235380 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: ' Date: <br /> Accounting: Reviewed by: L Date: 13+� 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 and Description Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525145 MICHAEL PARISSI Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0530174 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533066 not assigned Inactive [ ] [ ] <br />