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SAN JOAQUIN`COUNTY ENVIRONMENTAL HEALTH VEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/22/2014 <br /> Submitted on: 2112/2013 4:15:57PM CERS ID: 10404775 <br /> Submitted by: Rigoberto Rios Email: Rigoberto.Rios@broncowine.com Facility ID in CERS: <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0019859 <br /> Owner name FRED FRANZIA FRFD FRANZIA 111 <br /> Mailing address P.O.BOX 488 P.O.BOX 488 113 <br /> CERES, CA 95307 CERES, CA 95307 114, 115, 116 <br /> Work phone 209-556-6600 209-556-6600 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022434 <br /> Facility name LITTLE JOHN CREEK RANCH LITTLE JOHN CREEK RANCH 3 <br /> Site address 27344 E Sonora Rd 27344 E Sonora Rd 103 <br /> City Farmington Farmington 104 <br /> Zip code 95230 95230 105 <br /> Facility phone 209-556-6600 209-556-6600 102 <br /> Facility mailing address P.O. BOX 488 P.O. BOX 488 108a <br /> CERES, CA 95307 CERES, CA 95307 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name FRANK CANELA FRANK CANELA 140 <br /> Address P.O. BOX 488 P.O. BOX 488 143 <br /> CERES, CA 95307 CERES, CA 95307 144, 145, 146 <br /> Contact phone 209-556-6620 209-556-6624 141 <br /> Contact email FRANK.CANELA@BRONCOWINE.COM FRANK.CANELA@BRONCOWINE.COM 142 <br /> Mail invoices to Facility <br /> Program record ,4�HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ]`Tiered permit [1]-APSA j ] CalARP [ ] LIST 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 /> Accounting: Reviewed by: Date: r 7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct billed ..(_—Surcharge vert�red--- ————————————————— Date: <br /> ----- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Flement and Description Record ID FmploVee name Status_ Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONS/YR PR0539248 JEFFREY WONG Active [ ] [ <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PRO539249 JEFFREY WONG Active [ ] [ ] <br /> V <br />