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SAN JOAQUIN OUNTY ENVIRONMENTAL HEALTH PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8/11/2014 <br /> Submitted on: 3/26/2014 2:11:14PM CERS ID: 10187283 <br /> Submitted by:joe mytych Email: drpartners@aol.com Facility ID in CERS: FA0019607 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0016073 <br /> Owner name DEL RIO PARTNERS DEL RIO PARTNERS 111 <br /> Mailing address 10749 W WOODBRIDGE RD 10749 W WOODBRIDGE RD 113 <br /> LODI, CA 952429305 LODI, CA 95242-9305 114, 115, 116 <br /> Work phone 209-333-2459 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019607 <br /> Facility name DEL RIO PARTNERS DEL RIO PARTNERS 3 <br /> Site address 13000 W WOODBRIDGE RD 13000 W WOODBRIDGE RD 103 <br /> City LODI LODI 104 <br /> Zip code 952429305 95242-9305 <br /> 105 <br /> Facility phone 209-609-5452 (209)609-5452 102 <br /> Facility mailing address 10749 W WOODBRIDGE RD 10749 W WOODBRIDGE RD 108a <br /> LODI, CA 952429305 LODI, CA 95242-9305 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name DEL RIO PARTNERS DEL RIO PARTNERS 140 <br /> Address 10749 W WOODBRIDGE RD 10749 W WOODBRIDGE RD 143 <br /> LODI, CA 952429305 LODI, CA 95242-9305 144, 145, 146 <br /> Contact phone 209-609-5452 209-333-2459 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP <br /> [ ] UST New PE: aZ <br /> Assigned to: 1C LR bk <br /> Please bill: krIull calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 1 � _ <br /> -------------------------- <br /> Accounting: Reviewed by: Date: / Clerical: File [ ] Relabel fileCreate new file <br /> ]kV#g -'g64Z [)( Acct billed�j-j-s_urc„aenrleo By: Date: <br /> ------------------------ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONSNR PR0529646 ARIS VELOSO Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO529645 ARIS VELOSO Active,Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE R PR0533845 not assigned Inactive [ ] [ ] <br />