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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/17/2014 <br />Submitted on: 2/13/2014 9:00:09AM CERS ID: 10186639 <br />Submitted by: Bruce Fry Email: brucefry@mohrfry.com Facility ID in CERS: FA0017562 <br />OWNER INFORMATION <br />Information prior to CIW processing Information after CIW processing <br />(current EC database) k) (current submittal) <br />Owner ID OW0014403 <br />Owner nameMOHR-FRY RANCHES <br />Mailing address 12609 N WEST LN <br />LODI, CA 95240 <br />Work phone <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0017562 <br />Facility name tMOHR-FRY RANCHES <br />Site address <br />12609 N WEST LN <br />City <br />LODI <br />Zip code <br />95240 <br />Facility phone <br />209-334-3808 <br />Facility mailing address <br />12609 N WEST LN <br />LODI, CA 95240 <br />BILLING INFORMATION <br />Contact name MOHR-FRY RANCHES <br />Address 12609 N WEST LN <br />LODI, CA 95240 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Owner <br />POHR ENTERPRISES LLP <br />12609 N WEST LN <br />\ LODI, CA 95240 <br />2093343808 <br />)(RANCH 40 <br />12609 N WEST LN <br />LODI <br />95240 <br />(209) 334-3808 <br />12609 N WEST LN <br />LODI, CA 95240 <br />MOHR-FRY RANCHES <br />12609 N WEST LN <br />LODI, CA 95240 <br />2093343808 <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 />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: <br />--------------------------------------------------- <br />Accounting: Reviewed by: � Date: Clerical: X File Relabel file [ ]Create new file <br />[ ] Acct.bil[ed [ ] Surcharge-ve-Yif[ d — By: Date: <br />----------------- -------------------------------- <br />ACTIVE <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 PRO525747 not assigned Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PRO530582 ARIS VELOSO Active [ ] [ ] <br />2830 -AST FAC - SPCC EXEMPT PR0530581 ARIS VELOSO Active, Exempt [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE F PR0531849 not assigned Inactive [ ] [ ] <br />