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v <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/12/2016 <br /> Submitted on: 1/6/2016 1:49:56PM CERS ID: 10186525 <br /> Submitted by: Anthony Fuso Email: FFG3@Comcast.net Facility ID in CERS: FA0017490 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0014331 <br /> Owner name ANTHONY& DAVID FUSO ANTHONY& DAVID FUSO 111 <br /> Mailing address 6760 EACAMPO RD 6760 EACAMPO RD 113 <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 114, 115, 116 <br /> Work phone 209-369-6507 209-369-6507 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017490 <br /> Facility name ANTHONY& DAVID FUSO ANTHONY& DAVID FUSO 3 <br /> Site address 6760 EACAMPO RD 6760 EACAMPO RD 103 <br /> City ACAMPO ACAMPO 104 <br /> ZIP code 95220 95220 105 <br /> Facility phone 209-369-6507 (209) 369-6507 0 102 <br /> Facility mailing address 6760 E ACAMPO RD 6760 E ACAMPO RD 108a <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 108b,108C,load <br /> BILLING INFORMATION <br /> Contact name ANTHONY& DAVID FUSO ANTHONY& DAVID FUSO 140 <br /> Address 6760 EACAMPO RD 6760 EACAMPO RD 143 <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 144, 145, 146 <br /> Contact phone 209-369-6507 209-369-6507 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP 74 SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 1T"-M O V10 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 'L`LZ-O <br /> Assigned to: \I�--Wt?p <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: VA� Date: t' 0-ko <br /> - - -- - - - - - ------------------------------------ <br /> Accounting: Reviewed by: ! Date: [ 13 01�- Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525675 MUNIAPPA NAIDU Active [ ] [ ] <br /> ',2830-AST FAC -SPCC EXEMPT PR0528956 ARIS VELOSO Active [ ] [ ] <br /> n ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532937 not assigned Inactive [ ] [ ] <br />