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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/26/2016 <br />Submitted on: 1/20/2016 6:36:52PM <br />Submitted by: Ralph Scheel Email: rnscss@aol.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />jInformation prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 1 <br />OW0013656 <br />RALPH SCHEEL <br />18500 CALLA DR <br />MANTECA, CA 95336 <br />209-823-9788 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016815 <br />Facility name <br />RALPH SCHEEL <br />Site address <br />18500 CALLA DR <br />City <br />MANTECA <br />ZIP code <br />95336 <br />Facility phone <br />209-823-9788 <br />Facility mailing address <br />18500 CALLA DR <br />MANTECA, CA 95336 <br />BILLING INFORMATION <br />Contact name <br />RALPH SCHEEL <br />Address <br />18500 CALLA DR <br />MANTECA, CA 95336 <br />Contact phone <br />209-823-9788 <br />Contact email <br />RNSCSS@AOL.COM <br />Mail invoices to <br />Account <br />CERS ID: 10185457 <br />Facility ID in CERS: FA0016815 <br />Information after CIW processing CERS <br />(current submittal) field <br />RALPH SCHEEL 111 <br />18500 CALLA DR 113 <br />MANTECA, CA 95336 114, 115, 116 <br />(209) 823-9788 112 <br />RALPH SCHEEL <br />3 <br />18500 CALLA DR <br />103 <br />MANTECA <br />104 <br />95336 <br />105 <br />(209) 823-9788 <br />102 <br />18500 CALLA DR <br />108a <br />MANTECA, CA 95336 <br />108b, 108c, 108d <br />RALPH SCHEEL <br />140 <br />18500 CALLA DR <br />143 <br />MANTECA, CA 95336 <br />144, 145, 146 <br />(209) 823-9788 <br />141 <br />RNSCSS@AOL.COM <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: OI ' L05'-it7 "( �-{ l7 <br />created [ ] Tiered permit APSA [ ] CaIARP [ ] UST New PE: 2'!:�/ 3 O <br />Assigned to: MAN -L -o <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: UJ'Date: I( - )'�'li to <br />Accounting: Reviewed by: [/?.)'Date: 11�t 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 />11958 - HM -Farm Operations PR0525000 MUNIAPPA NAIDU Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE 171 PR0532450 not assigned Inactive [ ] [ ] <br />