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SAN JOAQUh _ BOUNTY ENVIRONMENTAL HEALTh __-PARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 3/11/2015 <br />Submitted on: 1/15/2015 11:54:25AM <br />Submitted by: Jeannette Shoup Email: shoupvineyards@aol.com <br />CERS ID: 10185325 <br />Facility ID in CERS: FA0016737 <br />Facility name <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 />Owner ID <br />OW0013578 <br />Owner name <br />WALTER SHOUP (SHOUP VINEYARDS) <br />WALTER SHOUP (SHOUP VINEYARDS) <br />111 <br />Mailing address <br />7200 E PELTIER RD <br />7200 E PELTIER RD <br />113 <br />ACAMPO, CA 95220 <br />ACAMPO, CA 95220 <br />114, 115, 116 <br />Work phone <br />209-334-2997 <br />209 334 2997 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0016737 <br />Facility name <br />WALTER SHOUP (SHOUP VINEYARDS) <br />Site address <br />7200 E PELTIER RD <br />City <br />ACAMPO <br />ZIP code <br />95220 <br />Facility phone <br />209-334-2997 <br />Facility mailing address 7200 E PELTIER RD <br />ACAMPO, CA 95220 <br />BILLING INFORMATION <br />Contact name WALTER H SHOUP <br />Address 7200 E PELTIER RD <br />ACAMPO, CA 95220 <br />Contact phone 209-334-2997 <br />Contact email <br />Mail invoices to uGIANsr' �— <br />WALTER SHOUP (SHOUP VINEYARDS) 3 <br />7200 E PELTIER RD 103 <br />ACAMPO 104 <br />95220 105 <br />(209) 334-2997 0 102 <br />7200 E PELTIER RD 108a <br />ACAMPO, CA 95220 108b, 108c, 108d <br />WALTER H SHOUP 140 <br />7200 E PELTIER RD 143 <br />ACAMPO, CA 95220 144, 145, 146 <br />209 334 2997 141 <br />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 [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by. Date: :�- 11 -t5 <br />Accounting: Reviewed by: Date: J (L 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 PR0524922 JAMIE DE LA ROSA Active [ ] [ ] <br />iRtffi67F ARIS VELOSO Active <br />C - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533526 not assigned Inactive [ ] [ ) <br />7 <br />