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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: <br /> Submitted on: 1/30/2014 9:25:28AM 6/18/2014 <br /> Submitted by: Jerilyn Estrada Email:jerilyn.estrada@fosterfarms.com CERS ID: 10166961 <br /> Facility ID in CERS: FA0017427 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014268 <br /> Owner name FOSTER FARMS E B #1 RANCH Foster Farms <br /> Mailing address PO BOX 831 P.O. Box 831 111 <br /> LIVINGSTON, CA 95334 3 <br /> Livingston, CA 95334 114, 1 5116 <br /> Work phone 209-394-7901 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017427 <br /> Facility name FOSTER FARMS E B #1 RANCH Foster Farms Escalon Bellota Ranch 3 <br /> Site address 1550 ESCALON BELLOTA RD 1550 Escalon Bellota Rd 103 <br /> City FARMINGTON Farmington 104 <br /> 95230 <br /> Zip code 95230 <br /> Facility phone 209-866-5359 952304-7901 105 <br /> 102 <br /> Facility mailing address PO BOX 831 <br /> P. O. Box 831 108a <br /> LIVINGSTON, CA 95334 Livingston, CA 95334 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name FOSTER FARMS E B#1 RANCH Denise Holmes 140 <br /> Address PO BOX 831 P.O. Box 831 143 <br /> LIVINGSTON, CA 95334 Livingston, CA 95334 144, 145, 146 <br /> Contact phone Not Specified 209-394-5352 141 <br /> Mail invoices to Owner <br /> Contact email denise.holmes@fosterfarms.com 142 <br /> , <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 /> 1 <br /> Processed through CERS Integration Wizard by: � A Date: t ,kC6 -1IiA <br /> -------------------------------------------------- <br /> ---- ----- ----------- ___ <br /> Accounting: Reviewed by: Date: Clerical: File [ ] Relabel file [ ] Create new file <br /> [ ] Ac— tlled [ ] Surc eve fled / I 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 /> 1958-HM-Fame Operations PRO525612 HAZA SAEED Active [ I [ [ <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO530155 WILLY NG Active,Exempt [ I [ [ <br />