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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/22/2015 <br />Submitted on: 12/22/2015 10:38:23AM <br />Submitted by: Jose Valdez Email: jose.valdez6600@broncowine.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 />OW0002070 <br />West Coast Grape Farming, Inc. <br />6342 Bystrum Road <br />Ceres, CA 95307 <br />209-272-3000 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002750 <br />Facility name <br />March Lane Vineyards <br />Site address <br />5000 Brookside Rd <br />City <br />Stockton <br />ZIP code <br />95219 <br />Facility phone <br />209-272-3000 <br />Facility mailing address 6342 Bystrum Road <br />Ceres, CA 95307 <br />BILLING INFORMATION <br />Contact name MARCH LANE VINEYARDS <br />Address 6342 Bystrum Road <br />Ceres, CA 95307 <br />Contact phone 209-272-3035 <br />Contact email frank.canela@broncowine.com <br />Mail invoices to Account <br />CERS ID: 10614352 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />WEST COAST GRAPE FARMING INC 111 <br />6342 BYSTRUM ROAD 113 <br />CERES, CA 95307 114, 115, 116 <br />209-272-3000 112 <br />March Lane Vineyards 3 <br />6501 Brookside Rd 103 <br />Stockton 104 <br />95219 105 <br />209-272-3000 102 <br />6342 BYSTRUM ROAD 108a <br />CERES, CA 95307 108b, 108c, 108d <br />FRANK CANELA 140 <br />P.O. BOX 488 143 <br />CERES, CA 95307 144, 145, 146 <br />209-272-3035 141 <br />frank.canela@broncowine.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: 2" S Liy (o S I <br />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 />-------------------------------------------------- <br />Accounting: Reviewed by: Date: Iy 23 IS 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 />2220 - SM HW GEN <5 TONSNR PR0539817 FATINAH ZAREEF Active [ ] [ ] <br />2755 - EMPLOYEE HOUSING-SEASONAL<180 DAYS PR0270016 CARL BORGMAN Inactive [ ] [ ] <br />