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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/10/2017 <br />Submitted on: 5/2/2017 9:56:40AM <br />Submitted by: Elinor Aufdermaur Email: faufdermaur32@gmail.com <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 />OW0013733 <br />ELENOIR AUFDERMAUR <br />12000 E MONCURE RD <br />RIPON, CA 95366 <br />209-599-6606 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016892 <br />Facility name <br />ELINOR AUFDERMAUR <br />Site address <br />12000 E MONCURE RD <br />City <br />RIPON <br />ZIP code <br />95366 <br />Facility phone <br />209-599-6606 <br />Facility mailing address 12000 E MONCURE RD <br />RIPON, CA 95366 <br />BILLING INFORMATION <br />Contact name ELINOR AUFDERMAUR <br />Address 12000 E MONCURE <br />RIPON, CA 95366 <br />Contact phone 209-599-6606 <br />Contact email <br />Mail invoices to Account <br />CERS ID: 10185579 <br />Facility ID in CERS: FA0016892 <br />Information after CIW processing CERS <br />(current submittal) field <br />ELINOR AUFDERMAUR 111 <br />12000 E MONCURE RD 113 <br />RIPON, CA 95366 114, 115, 116 <br />(209) 599-6606 112 <br />ELINOR AUFDERMAUR 3 <br />12000 E MONCURE RD 103 <br />RIPON 104 <br />95366 105 <br />(209) 599-6606 0 102 <br />12000 E MONCURE RD 108a <br />RIPON, CA 95366 108b, 108c, 108d <br />ELINOR AUFDERMAUR 140 <br />12000 E MONCURE 143 <br />RIPON, CA 95366 144, 145, 146 <br />(209) 599-6606 141 <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate <br />%%this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: Date: -5711/11 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] 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 1 chem units PR0525077 MUNIAPPA NAIDU Active [ ] [ ] <br />2840 - AST EXEMPT FAC < 1,320 GAL PR0531031 WILLY NG Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533369 not assigned Inactive [ ] [ ] <br />