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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/29/2014 <br /> Submitted on: 2/18/2014 3:29:29PM CERS ID: 10185753 <br /> Submitted by: Cathy Hemlhy Email: cathy@greeneandhemly.com Facility ID in CERS: FA0017011 <br /> Information prior to CIW processing Inwm 'on after CIW processing CERS <br /> OWNER INFORMATION (current EC database) /current suBm' al) field <br /> Owner ID OW0013852 <br /> Owner name TRAP-85 Stokes & Lombardi Farms 111 <br /> Mailing address 11275 STATE HWY 160 / 11275 STATE HWY 160 113 <br /> COURTLAND, CA 95615 COURTLAND, CA 95615 114, 115,116 <br /> Work phone (916) 870-9020 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017011 <br /> Facility name TRAP-85 TRAP-85 3 <br /> Site address 24501 N THORNTON RD 24501 N THORNTON RD 103 <br /> City THORNTON THORNTON 104 <br /> Zip code 95686 95686 105 <br /> Facility phone 916-775-1379 (916) 775-1379 0 102 <br /> Facility mailing address 11275 STATE HWY 160 11275 STATE HWY 160 108a <br /> COURTLAND, CA 95615 COURTLAND, CA 95615 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name TRAP-85 Greene and Hemly Inc 140 <br /> Address 11275 STATE HWY 160 11275 STATE HWY 160 143 <br /> COURTLAND, CA 95615 COURTLAND, CA 95615 144, 145, 146 <br /> Contact phone Not Specified (916)775-1379 141 <br /> Contact email 142 <br /> Mail invoices to Owner./ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] Cali [ ] 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: _ �AA Date: 6 yAt,[ <br /> ----------------------------------- -- <br /> Accounting, Reviewed —K�Date: � Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Y <br /> ---- [ ] A illed [ ] Surc —geverlled—_ — _—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 PRO525196 not assigned Active [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0529148 WILLY NG Active, Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533134 not assigned Inactive [ ] [ ] <br />