Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH Gv- DARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/22/2016 <br /> Submitted on: 2/11/2016 2:51:15PM CERS ID: 10181883 <br /> Submitted by: Logan Robertson Email: loganrobertsonfarms@hotmail.com Facility ID in CERS: FA0005579 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0004403 <br /> Owner name HAL ROBERTSON FARMS LLC HAL ROBERTSON FARMS LLC 111 <br /> Mailing address 27337 S BANTA RD 27337 S BANTA RD 113 <br /> TRACY, CA 95304 TRACY, CA 95304 114, 115, 116 <br /> Work phone 209-835-0542 2098350542 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005579 <br /> Facility name HAL ROBERTSON FARMS LLC HAL ROBERTSON FARMS LLC 3 <br /> Site address 27337 S BANTA RD 27337 S BANTA RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 209-835-0542 (209) 835-0542 102 <br /> Facility mailing address 27337 S BANTA RD 27337 S BANTA RD 108a <br /> TRACY, CA 95304 TRACY, CA 95304 108b, 108c, 108d <br /> BILLING INFORMATION <br /> Contact name HAL ROBERTSON FARMS LLC HAL ROBERTSON FARMS LLC 140 <br /> Address 27337 S BANTA RD 27337 S BANTA RD 143 <br /> TRACY, CA 95304 TRACY, CA 95304 144, 145, 146 <br /> Contact phone 209-835-0542 2098350542 141 <br /> Contact email 142 <br /> Mail invoices to Account <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 thiscalendaryear [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS lgtegration Wizard by: VA Date: 2 ,22, � b <br /> ---------------------- ----------------- -- <br /> Accounting: Reviewed by: � Date: y / Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed V] 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 PR0525843 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONSNR PR0538462 VICKI MCCARTNEY Active [ ] [ ] <br /> 2333-EXCLUDED UST FACILITY PR0502799 STEVE SASSON Inactive [ ] [ ] <br /> "2830-AST FAC -SPCC EXEMPT PR0529299 VICKI MCCARTNEY Inactive [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532223 not assigned Inactive [ ] [ ] <br />