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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/2/2015 <br /> Submitted on: 12/10/2014 1:52:45PM CERS ID: 10185865 <br /> Submitted by: Edward Leonardini Email: evlandfjl@aol.com Facility ID in CERS: FA0017081 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013922 <br /> Owner name EDWARD V LEONARDINI EDWARD V LEONARDINI 111 <br /> Mailing address 5445 LEONARDINI RD 5445 LEONARDINI RD 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-403-6641 2094036641 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017081 <br /> Facility name EDWARD V LEONARDINI EDWARD V LEONARDINI 3 <br /> Site address 5445 LEONARDINI RD 5445 LEONARDINI RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-403-6641 (209)403-6641 102 <br /> Facility mailing address 5445 LEONARDINI RD 5445 LEONARDINI RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name EDWARD V LEONARDINI EDWARD V LEONARDINI 140 <br /> Address 5445 LEONARDINI RD 5445 LEONARDINI RD 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone 209-403-6641 2094036641 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP ,[ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: 53 21 <br /> created [ ] Tiered permit APSA [ ] CalARP [ ] UST New PE: 2 39 <br /> CJ Assigned to: Zk �F <br /> Please bill: [ ] full calendar year [ ] prorate <br /> ,this <br /> -calendar year [ ] next calendar year [� exempt from billing <br /> Processed through CERS Integration Wizard by: V`^� Date: t ' -2-' k <br /> ------ -------------- - - <br /> Accounting: Reviewed by: (h Date: 1/5/]S 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 PR052 2266 JAMIE DE LA ROSA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531944 not assigned Inactive [ ] [ ] <br />