Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/22/2016 <br />Submitted on: 1/15/2016 2:05:36PM CERS ID: 10181277 <br />Submitted by: David Dedini Email: chardvin@verizon.net Facility ID in CERS: FA0003665 <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 />OW0002735 <br />DEDINI, DAVID <br />PO BOX 988 <br />RIPON, CA 95366 <br />209-614-3950 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0003665 <br />Facility name <br />DAVID DEDINI FARMS INC <br />Site address <br />14425g LINTON SOUTH AVE <br />City <br />RIPON <br />ZIP code <br />95366 <br />Facility phone <br />209-599-3950 <br />Facility mailing address <br />PO BOX 988 <br />RIPON, CA 95366 <br />BILLING INFORMATION <br />Contact name <br />DAVID DEDINI FARMS INC <br />Address <br />PO BOX 988 <br />RIPON, CA 95366 <br />Contact phone <br />209-599-3950 <br />Contact email <br />Mail invoices to <br />Account <br />Information after CIW processing <br />(current submittal) <br />DEDINI, DAVID <br />PO BOX 988 <br />RIPON, CA 95366 <br />(209)614-3950 <br />DAVID DEDINI FARMS INC <br />14425 S'CLINTON AVC -- <br />RIPON +NYU <br />95366 <br />(209)599-3950 0 <br />PO BOX 988 <br />RIPON, CA 95366 <br />DAVID DEDINI FARMS INC <br />PO BOX 988 <br />RIPON, CA 95366 <br />(209)599-3950 <br />Program record [ ] HMBP [ ] SOG HW [ ] LOG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b.108c,108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: l 27-" l�f <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 PR0526816 MUNIAPPA NAIDU Active [ ] [ ] <br />2333 - EXCLUDED UST FACILITY PR0234052 ALISON YOUNGBLOOD Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507384 ALISON YOUNGBLOOD Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531260 not assigned Inactive [ ] [ ] <br />