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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: 1/4/201610:58:50AM <br />Submitted by: Gary Darpinian Email: kdarpinianandsons@gmail.com <br />CERS ID: 10186223 <br />Facility ID in CERS: FA0017291 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner: 1 <br />Owner ID <br />OW0014132 <br />Owner name <br />K DARPINIAN & SONS INC <br />K. Darpinian & Sons, Inc. <br />111 <br />Mailing address <br />5913 COFFEE RD <br />5913 COFFEE RD <br />113 <br />MODESTO, CA 95357-0820 <br />MODESTO, CA 95357-0820 <br />114, 115, 116 <br />Work phone <br />209-524-4442 <br />2095244442 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0017291 <br />Facility name <br />K DARPINIAN & SONS INC <br />Benson Ranch <br />3 <br />Site address <br />21478 S SEXTON RD <br />21478 S SEXTON RD <br />103 <br />City <br />ESCALON <br />ESCALON <br />104 <br />ZIP code <br />95320 <br />95320 <br />105 <br />Facility phone <br />209-524-4442 <br />2095244442 <br />102 <br />Facility mailing address <br />5913 COFFEE RD <br />5913 COFFEE RD <br />108a <br />MODESTO, CA 95357-0820 <br />MODESTO, CA 95357-0820 <br />108b, 108c, 1084 <br />BILLING INFORMATION <br />Contact name K DARPINIAN & SONS INC K. Darpinian & Sons, Inc. 140 <br />Address 5913 COFFEE RD 5913 COFFEE RD 143 <br />MODESTO, CA 95357-0820 MODESTO, CA 95357-0820 144, 145, 146 <br />Contact phone 209-524-4442 2095244442 141 <br />Contact email kdarpinianandsons@gmail.com kdarpinianandsons@gmail.com 142 <br />Mail invoices to Owner <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST 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 />Accounting: Reviewed by: tb Date: / Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />-------------------------------------------------- <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 PR0525476 MUNIAPPA NAIDU Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0530245 ELENA MANZO Active [ ] [ ] <br />830 - AST FAC - SPCC EXEMPT PR0530244 ELENA MANZO Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531990 not assigned Inactive [ ] [ ] <br />