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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/3/2017 <br />Submitted on: 2/24/2017 10:15:57AM <br />Submitted by: Mike Rodoani Email: Mofletcher@velociter.net <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0013747 <br />HAERTL FARMS LP <br />17750 S CARROLTON <br />ESCALON, CA 95320 <br />209-838-2613 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016906 <br />Facility name <br />HAERTL FARMS LP <br />Site address <br />17487 E LONE TREE RD <br />City <br />ESCALON <br />ZIP code <br />95320 <br />Facility phone <br />209-838-2081 <br />Facility mailing address 17750 S CARROLTON <br />CERS ID: 10185601 <br />Facility ID in CERS: FA0016906 <br />Information after CIW processing CERS <br />(current submittal) field <br />HAERTL FARMS LP 111 <br />16590 Murphy Rd 113 <br />ESCALON, CA 95320 114, 115, 116 <br />(209) 9854955 112 <br />HAERTL FARMS LP 3 <br />17487 E LONE TREE RD 103 <br />ESCALON 104 <br />95320 105 <br />(209)985-4955 102 <br />16590 Murphy Rd 108a <br />ESCALON, CA 95320 108b, 108c, 108d <br />HAERTL FARMS LP <br />ESCALON, CA 95320 <br />BILLING INFORMATION <br />143 <br />Contact name <br />HAERTL FARMS LP <br />Address <br />17750 S CARROLTON <br />ESCALON, CA 95320 <br />Contact phone <br />916-372-5595 <br />Contact email <br />Mail invoices to <br />Owner <br />CERS ID: 10185601 <br />Facility ID in CERS: FA0016906 <br />Information after CIW processing CERS <br />(current submittal) field <br />HAERTL FARMS LP 111 <br />16590 Murphy Rd 113 <br />ESCALON, CA 95320 114, 115, 116 <br />(209) 9854955 112 <br />HAERTL FARMS LP 3 <br />17487 E LONE TREE RD 103 <br />ESCALON 104 <br />95320 105 <br />(209)985-4955 102 <br />16590 Murphy Rd 108a <br />ESCALON, CA 95320 108b, 108c, 108d <br />HAERTL FARMS LP <br />140 <br />16590 Murphy Rd <br />143 <br />ESCALON, CA 95320 <br />144, 145, 146 <br />(916)372 5595 <br />141 <br />142 <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: OO Date: L -t `"x'07 <br />Accounting: Reviewed by: (6 Date: 1�1 /t 1 / -7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ J Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1958 - HM -Farm Operations 'I chem units PRO525091 MUNIAPPA NAIDU Active [ ] [ ] <br />2840 - AST EXEMPT FAC < 1,320 GAL PR0529995 WILLY NG Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534189 not assigned Inactive [ ] [ ] <br />