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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/12/2016 <br />Submitted on: 1/4/2016.10:58:50AM <br />Submitted by. Gary Darpinian Email: kdarpinianandsons@gmail.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 1 <br />OW0014132 <br />K DARPINIAN & SONS INC <br />5913 COFFEE RD <br />MODESTO, CA 95357-0820 <br />209-524-4442 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0017291 <br />Facility name <br />K DARPINIAN & SONS INC <br />Site address <br />21478 S SEXTON RD <br />City <br />ESCALON <br />ZIP code <br />95320 <br />Facility phone <br />209-524-4442 <br />Facility mailing address <br />5913 COFFEE RD <br />Processed through CERS Integration Wizard by: Date: <br />MODESTO, CA 95357-0820 <br />BILLING INFORMATION <br />[ ] File [ ] Relabel file [ ] Create new file <br />Contact name <br />K DARPINIAN & SONS INC <br />Address <br />5913 COFFEE RD <br />Status Reactivated Inactivated <br />MODESTO, CA 95357-0820 <br />Contact phone <br />209-524-4442 <br />Contact email <br />kdarpinianandsons@gmail.com <br />Mail invoices to <br />Owner <br />CERS ID: 10186223 <br />Facility ID in CERS: FA0017291 <br />Information after CIW processing CERS <br />(current submittal) field <br />K. Darpinian & Sons, Inc. 111 <br />5913 COFFEE RD 113 <br />MODESTO, CA 95357-0820 114, 115, 116 <br />2095244442 112 <br />Benson Ranch 3 <br />21478 S SEXTON RD 103 <br />ESCALON 104 <br />95320 105 <br />2095244442 102 <br />5913 COFFEE RD 108a <br />MODESTO, CA 95357-0820 108b, 108c, 108d <br />K. Darpinian & Sons, Inc. 140 <br />5913 COFFEE RD 143 <br />MODESTO, CA 95357-0820 144, 145, 146 <br />2095244442 141 <br />kdarpinianandsons@gmail.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] <br />next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />X <br />Accounting: Reviewed by: tb Date: /� I Clerical: <br />[ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name <br />Status Reactivated Inactivated <br />X 958 - HM -Farm Operations PR0525476 MUNIAPPA NAIDU <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0530245 ELENA MANZO <br />Active [ ] [ ] <br />2830 - AST FAC - SPCC EXEMPT PR0530244 ELENA MANZO <br />Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO531990 not assigned <br />Inactive [ ] [ ] <br />