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SAN JOAQU.._ .;OUNTY ENVIRONMENTAL HEALTH. _EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/11/2015 <br /> Submitted on: 1/14/2015 2:05:07PM CERS ID: 10185781 <br /> Submitted by: Robert Pombo Email: bobpombo@gmail.com Facility ID in CERS: FA0017029 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013870 <br /> Owner name POMBO 7P CATTLE COMP POMBO 7P CATTLE COMP 111 <br /> Mailing address 24100 LAMMER RD 24100 S. LAMMERS RD 113 <br /> TRACY, CA 95377 TRACY, CA 95377 114, 115, 116 <br /> Work phone 209-835-4949 2098354949 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017029 <br /> Facility name POMBO 7P CATTLE COMP POMBO 7P CATTLE COMP 3 <br /> Site address 24100 LAMMERS RD 24100 LAMMERS RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95377 95377 105 <br /> Facility phone 209-835-4949 (209) 835-4949 102 <br /> Facility mailing address 1755 W 11TH ST PO Box 269 108a <br /> TRACY, CA 95376 TRACY, CA 95378 108b,to8c,108d <br /> BILLING INFORMATION <br /> Contact name ERNIE POMBO ERNIE POMBO 140 <br /> Address 1755 W 11TH ST 1755 W 11TH ST 143 <br /> TRACY, CA 95376 TRACY, CA 95376 144, 145, 146 <br /> Contact phone 209-835-4949 2098354949 141 <br /> Contact email ✓ 142 <br /> Mail invoices to 9w�*f If( <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 /> - -------------------------------------------------- <br /> Accounting: Reviewed by: Ze"'— Dater 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 PR0525214 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0530967 THUY TRAN Active [ ] [ ] <br /> ;2830-AST FAC -SPCC EXEMPT PRQ53096% THUY TRAN Active <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531706 not assigned Inactive [ ] [ ] <br />