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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 2/3/2015 <br /> Submitted on: 1/15/2015 10:22:50AM CERS ID: 10614352 <br /> Submitted by:juan calderon Email:juan.calderon@broncowine.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002070 <br /> Owner name CECCHINI, CATHERINE West Coast Grape Farming, Inc. 111 <br /> Mailing address 1765 COUNTRY CLUB 6342 Bystrum Road 113 <br /> STOCKTON, CA 95204 Ceres, CA 95307 114, 115, 116 <br /> Work phone 209-477-9155 2092723000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002750 <br /> Facility name CECCHINI FARMS 39-16 March Lane Vineyards 3 <br /> Site address 5000 W BROOKSIDE RD 5000 Brookside Rd 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-477-9155 2092723000 102 <br /> Facility mailing address PO BOX 7335 6342 Bystrum Road 108a <br /> STOCKTON, CA 95207 Ceres, CA 95307 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name CECCHINI FARMS 39-16 Frank Canela 140 <br /> Address PO BOX 7335 6342 Bystrum Road 143 <br /> STOCKTON, CA 95207 Ceres, CA 95307 144, 145, 146 <br /> Contact phone209-477-9155 2092723035 141 <br /> Contact email O U d 4-75frank.canela@broncowine.com 142 <br /> Mail invoices to F Ility� <br /> Program record [ ] HMBP SQG HW [ ] LOG HW [ ] RCRA HW New PR#: JOS I%t'1 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 2220 <br /> Assigned to: <br /> Please bill: full calendar year [ ] proratethiscalendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integrations Wizard by: �" Date: 2-�'- <br /> Accounting: Reviewed by: W,, Date: 2'S S Clerical: [ ] File [ ] Relabel file[ Create new file <br /> AVcct 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 /> 2755-EMPLOYEE HOUSING-SEASONAL<180 DAYS PR0270016 CARL BORGMAN Inactive [ ] [ ] <br /> ;7 3 S�zCP <br />