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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/28/2015 <br /> Submitted on: 4/15/2015 1:59:57PM CERS ID: 10187753 <br /> Submitted by: Arlan Vander Woude Email: deltawoodsdairy@gmail.com Facility ID in CERS: FA0021048 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017326 <br /> Owner name VANDER WOODE FAMILY TRUST Arlan Vander Woude 111 <br /> Mailing address 18700 S BACCHETTI RD 18700 Bachetti Rd 113 <br /> TRACY, CA 95304 Tracy, CA 95304 114, 115, 116 <br /> Work phone 209-564-2624 209-564-2624 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021048 <br /> Facility name Delta Woods Dairy Delta Woods Dairy 3 <br /> Site address 18700 S BACCHETTI RD 18700 S BACCHETTI RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 209-564-2624 (209) 564-2624 102 <br /> Facility mailing address 18700 S BACCHETTI RD 18700 Bachetti Rd 108a <br /> TRACY, CA 95304 Tracy, CA 95304 108b, 108c,load <br /> BILLING INFORMATION <br /> Contact name Delta Woods Dairy / Arlan Vander Woude 140 <br /> Address 18700 S BACCHETTI RD V 18700 Bachetti Rd 143 <br /> TRACY, CA 95304 Tracy, CA 95304 144, 145, 146 <br /> Contact phone 209-564-2624 j 209-564-2624 141 <br /> Contact email h / deltawoodsdairy@gmail.com 142 <br /> Mail invoices to r1 <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 calendarear <br /> / y [ ] exempt from billing <br /> t1 <br /> Processed through CERS Integration Wizard by: L/YDate: _ ! lS <br /> Accounting: Reviewed b : � Date: S Clerical: [ ] File <br /> Y �-./� [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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-Farm Operations PR0525837 MICHAEL PARISSI Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONS/YR PRO529336 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0529304 THUY TRAN Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532740 not assigned Inactive [ ] [ ] <br />