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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 3/14/2014 3:25:41 PM CERS ID: 10181745 <br /> Submitted by: Jeff Ferrari Email:jeff@ferrarifarms.com Facility ID in CERS: FA0005155 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004028 <br /> Owner name FERRARI FARMS INC Wayne Ferrari 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 FA0005155 <br /> Facility name FERRARI FARMS INC FERRARI FARMS INC 3 <br /> Site address 17071 E BAKER RD 17071 E BAKER RD 103 <br /> City LINDEN LINDEN 104 <br /> Zip code 95236 95236 105 <br /> Facility phone 209-887-3906 (209) 887-3906 0 102 <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, 145, 146 <br /> Contact phone Not Specified 209-887-3603 141 <br /> Contact email jell@ferrarifarms.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG 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: -IRS J-' Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acc ed [ ] Surchar rifled 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 PR0526819 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONS/YR PR0529020 JEFFREY WONG Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PRO501589 STEVE SASSON Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0529019 JEFFREY WONG Active, Exempt [ ] [ ] <br />