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E7 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT �I�( <br /> Changes to EnvisionConnect by CERS Integration Wizard �/ <br /> Date run: 7/17/2014 <br /> Submitted on: 3/14/2014 3:28:34PM aLIi Copy CERS ID: 10186805 <br /> Submitted by: Jeff Ferrari Email:jeff@ferrarifarms.com in C r Facility ID in CERS: FA0018156 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014899 FGimpfr >s? N(!— <br /> Owner name FERRARI FARMS INC `81%'RP ren'aF 111 <br /> Mailing address 17071 E BAKER RD 17071 E BAKER RD 113 <br /> LINDEN, CA 95236 LINDEN, CA 95236 114, 115,116 <br /> Work phone 209-887-3906 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018156 <br /> Facility name FERRARI FARMS INC FERRARI FARMS INC 3 <br /> Site address 5908 N JACK TONE RD 5908 N JACK TONE RD 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-887-3906 (209)887-3906 0 <br /> 102 <br /> Facility mailing address 17071 E BAKER RD 17071 E BAKER RD 108a <br /> LINDEN, CA 95236 LINDEN, CA 95236 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name FERRARI FARMS INC Jeff Ferrari 140 <br /> Address 17071 E BAKER RD 17071 E BAKER RD 143 <br /> LINDEN, CA 95236 LINDEN, CA 95236 144, 146, 146 <br /> Contact phone Not Specified 209-887-3603 141 <br /> Contact email jeff@ferrarifarms.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: Date: <br /> ------------------------- <br /> Accounting: Reviewed by: -- Date: Clerical: 0 File [ ] Relabel file [ ] Create new file <br /> --- — <br /> — [ ] Ac led [ ] Surchar erfie --- --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 PRO526799 not assigned Active [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO530295 WILLY NG Active, Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0531535 not assigned Inactive [ ] [ ] <br />