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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT of <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/14/2014 <br /> Submitted on: 2/25/2013 7:55:49AM CERS ID: 10186211 <br /> Submitted by: Richard Salmon Email: rsalmonwo@caldsl.net Facility ID in CERS: FA0017285 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014126 <br /> Owner name WATERLOO ORCHARDS WATERLOO ORCHARDS Inc 111 <br /> Mailing address 7986 N BEECHER RD 7986 N BEECHER RD 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-931-8854 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017285 <br /> Facility name WATERLOO ORCHARDS WATERLOO ORCHARDS 3 <br /> Site address 12585 COMSTOCK RD 12585 COMSTOCK RD 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-931-8854 (209) 931-8854 0 102 <br /> Facility mailing address 7986 N BEECHER RD 7986 N BEECHER RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name WATERLOO ORCHARDS WATERLOO ORCHARDS Inc 140 <br /> Address 7986 N BEECHER RD 7986 N BEECHER RD 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone Not Specified 209-931-6761 141 <br /> Contact email 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: Date:- . Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> {—�—AcGt-bilied- _r--Surcharge-vertffed- By: Date: <br /> ------------------ <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 PR0525470 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO529559 Fatina Zareef Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0529558 Fatina Zareef Active,Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO532914 not assigned Inactive [ ] [ ] <br />