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------------- <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH ePARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/23/2014 <br /> Submitted on: 1/30/2014 12:56:39PM CERS ID: 10181073 <br /> Submitted by: Jim Husting Email:jchust@sbcglobal.net Facility ID in CERS: FA0003206 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002389 <br /> Owner name WOODBRIDGE GOLF&COUNTRY CLUB WOODBRIDGE GOLF&COUNTRY CLUB 111 <br /> Mailing address PO BOX 806 PO BOX 806 113 <br /> WOODBRIDGE, CA 95258 WOODBRIDGE, CA 95258 114, 115, 116 <br /> Work phone 209-334-5454 112 <br /> FACILITY FILE INFORMATION <br /> Facifity ID FA0003206 <br /> Facility name WOODBRIDGE GOLF&COUNTRY CLUB WOODBRIDGE GOLF &COUNTRY CLUB 3 <br /> Site address 800 E WOODBRIDGE RD 800 E WOODBRIDGE RD 103 <br /> City WOODBRIDGE WOODBRIDGE 104 <br /> Zip code 95258 95258 105 <br /> Facility phone 209-334-5454 (209) 334-5454 102 <br /> Facility mailing address PO BOX 806 PO BOX 806 108a <br /> WOODBRIDGE, CA 95258 WOODBRIDGE, CA 95258 108b,lose,108d <br /> BILLING INFORMATION <br /> Contact name WOODBRIDGE GOLF&COUNTRY CLUB WOODBRIDGE GOLF&COUNTRY CLUB 140 <br /> Address PO BOX 806 PO BOX 806 143 <br /> WOODBRIDGE, CA 95258 WOODBRIDGE, CA 95258 144, 145,146 <br /> Contact phone 209-334-5454 209-334-5454 141 <br /> Contact email jchust@sbcglobal.net 142 <br /> Mail invoices to Facility <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 calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel Tile [ ] 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 /> 1626-RESTAURANT/BAR 101 +SEATS PRO160190 KADEANNE LINHARES Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO519775 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2381-UST FACILITY(BEFORE 1/84)-obsolete PR0504679 Feline Zareef Inactive [ ] [ 1 <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509617 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 3611 -PUBLIC POOL/SPA-PRIMARY PR0360498 KADEANNE LINHARES Active [ ] [ 1 <br />