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SAN JOAQUII,.*OUNTY ENVIRONMENTAL HEALTH APARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/2612015 <br /> Submitted on: 2/11/2015 10:08:44AM CERS ID: 10186551 <br /> Submitted by: Brock De Jong Email: almenz4u@gmail.com Facility ID in CERS: FA0017503 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014344 <br /> Owner name DEJONG BROS FARMING DEJONG BROS FARMING 111 <br /> Mailing address 22550 ALICE RD 22550 ALICE RD 113 <br /> MANTECA, CA 95337 MANTECA, CA 95337 114, 115, 116 <br /> Work phone 209-456-2952 209-456-2952 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017503 <br /> Facility name DEJONG BROS FARMING DEJONG BROS FARMING 3 <br /> Site address 22550 ALICE RD 22550 ALICE RD 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95337 95337 105 <br /> Facility phone 209-456-2952 (209) 456-2952 0 102 <br /> Facility mailing address 22550 ALICE RD 22550 ALICE RD 108a <br /> MANTECA, CA 95337 MANTECA, CA 95337 108b 108c,108d <br /> BILLING INFORMATION <br /> Contact name DLJONG BROS FARMING DEJONG BROS FARMING 140 <br /> Address 22550 A-ICF RD 22550 ALICE RD 143 <br /> MANTECA, CA 95337 MANTECA, CA 95337 144, 145, 146 <br /> Contact phone 209-456-2952 209-456-2952 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [i'] SQG HW [ ] LOG 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: 0� Date: ��y l4j <br /> Accounting: Reviewed by: L6 - Date: 'r)4(rClerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [�f 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 PRO525688 MICHAEL PARISSI Active [ ] [ ] <br /> 2630-AST FAC -SPCC EXEMPT PR0529052 ELENA MANZO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531493 not assigned Inactive [ ] [ ] <br /> y (,Ll�3 <br />