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SAN JOAQUIN-COUNTY ENVIRONMENTAL HEALTH 15EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/28/2015 <br /> Submitted on: 4120/2015 3:08:54PM CERS Ip: 10181991 <br /> Submitted by: Rick Riella Email; mikkiriella@gmaiLcom Facility ID in CERS. FA0005995 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004782 <br /> Owner name RIELLA, RICHARD & NIKKI FAMILY TRUST Richard J and Mikki M Riella 2006 Family 111 <br /> Mailing address 818 E FISK RD 9251 S WOLFE RD 113 <br /> MANTECA, CA 95336-7601 FRENCH CAMP, CA 95231 114, 115, 116 <br /> Work phone 2099932977 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005995 <br /> Facility name RIELLA FARMS INC ,/ MULLER, RAYMOND 3 <br /> Site address 9251 S WOLFE RD 9251 S WOLFE RD 103 <br /> City FRENCH CAMP FRENCH CAMP 104 <br /> ZIP code 95231 95231 105 <br /> Facility phone 209-993-2977 2099932977 102 <br /> Facility mailing address 13182 S AIRPORT WAY 9251 S WOLFE RD 108a <br /> MANTECA, CA 95336 FRENCH CAMP, CA 95231 108b,iaac,load <br /> BILLING INFORMATION <br /> Contact name RIELLA, RICHARD & NIKKI FAMILY TRUST' Rick Riella 140 <br /> Address 818 E FISK RD ,�' 818 Fisk Rd 143 <br /> MANTECA, CA 95336-7601 Manteca, CA 95336 144. 145. 146 <br /> Contact phone 209-982-1979 2099932977 141 <br /> Contact email riellafarms@scglobal.net 142 <br /> Mail invoices to Account L_- <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: Date: / f <br /> Accounting: Reviewed by: <br /> --- ---- ---------Z;UDate: S 1 Clerical: [ ] File [ ) Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge veri ied By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Empioyee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525759 JAMIE DE LA ROSA Active <br /> 2333-FARM UST#1 FACILITY-obsolete PR0503855 STEVE SASSON Inactive [ ] [ ] <br /> 2830-AST FAG -SPCC EXEMPT PR0530600 THUY TRAN Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO535692 BFNJAMIN ESCOTTO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532122 not assigned Inactive [ ] [ ] <br />