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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/3/2017 <br />Submitted on: 4/28/2017 1:58:30PM CERS ID: 10185721 <br />Submitted by: Veronica Luis Email: veronica)@mandrpacking.com Facility ID in CERS: FA0016988 <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 />OW0013829 <br />Donald Reynolds <br />33 E TOKAY <br />LODI, CA 95240 <br />209-369-2725 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016988 <br />Facility name <br />M&R CO <br />Site address <br />21207 NOLAN RD <br />City <br />ACAMPO <br />ZIP code <br />95220 <br />Facility phone <br />209-368-3300 <br />Facility mailing address <br />33 E TOKAY <br />LODI, CA 95240 <br />BILLING INFORMATION <br />Contact name <br />M&R CO <br />Address <br />33 E TOKAY <br />LODI, CA 95240 <br />Contact phone <br />209-369-2725 <br />Contact email <br />patw@mandrpacking.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Donna L. Reynolds 111 <br />33 E TOKAY STREET 113 <br />LODI, CA 95240 114, 115, 116 <br />209 369-2725 112 <br />M&R CO <br />3 <br />21207 NOLAN RD <br />103 <br />ACAMPO <br />104 <br />95220 <br />105 <br />(209) 368-3300 0 <br />102 <br />33 E TOKAY <br />108a <br />LODI, CA 95240 <br />108b, 108c, 108d <br />M&R CO 140 <br />33 E TOKAY 143 <br />LODI, CA 95240 144, 145, 146 <br />209 369-2725 141 <br />patw@mandrpacking.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />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: ✓ L"2-- Date: <br />Accounting: Reviewed by: Date: �l `'f 111 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 PR0525173 MUNIAPPA NAIDU Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531718 not assigned Inactive [ ] [ ] <br />