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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard. <br /> Date run: 6/11/2015 <br /> Submitted on: 61412015 12:34:18PM CERS ID: 10187547 <br /> Submitted by: TREY STEINHART Email: Msevilla@deltabfuegrass.com Facility ID in CERS: FA0020223 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002213 <br /> Owner name ZUCKERMAN-HERITAGE INC ZUCKERMAN-HERITAGE INC 111 <br /> Mailing address PO BOX 487 PO BOX 487 113 <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 114, 115, 116 <br /> Work phone 209-469-7979 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020223 <br /> Facility name ZUCKERMAN HERITAGE INC ZUCKERMAN HERITAGE INC 3 <br /> Site address 10500 N CORREIA RD 10500 N CORREIA RD 103 <br /> City LODI LODI 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-469-7979 (209) 469-7979 102 <br /> Facility mailing address PO BOX 487 PO BOX 487 108a <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name ZUCKERMAN HERITAGE INC ZUCKERMAN HERITAGE INC 140 <br /> Address PO BOX 487 PO BOX 487 143 <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 144, 145, 146 <br /> Contact phone 209-469-7979 209-469-7979 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: it -4 0S &I `( <br /> created [ ] Tiered permit [ APSA [ ] CalARP [ ] UST New PE: �Y3 <br /> Assigned to: -T � - <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 /> -------------------- <br /> Accounting: Reviewed by: Date: 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 PRO536320 JAMIE DE LA ROSA Active [ 1 [ 1 <br /> 2221 -USED OIL ONLY-<5 TONS'YR PR0538602 FATINAH ZAREEF Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0534973 BENJAMIN ESCOTTO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F! PR0536299 BENJAMIN ESCOTTO Inactive [ ] [ ] <br />