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SAN JOAQUIWOUNTY ENVIRONMENTAL HEALTOPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/14/2015 <br /> Submitted on: 1/12/2015 12:10:05PM CERS ID: 10612486 <br /> Submitted by: ed giannecchini Email: edgiannecchini@yahoo.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 OW0014069 <br /> Owner name ED GIANNECCHINI JR Ed Giannecchini 111 <br /> Mailing address 6888 N WALL RD 6888 N Wall rd 113 <br /> LINDEN, CA 95236 Linden, CA 95236 114, 115, 116 <br /> Work phone 209 479-5980 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017228 <br /> Facility name ED GIANNECCHINI JR ed giannecchini 3 <br /> Site address 18857 E COMSTOCK RD 18857 E Comstock Rd 103 <br /> City LINDEN Linden 104 <br /> ZIP code 95236 95236 105 <br /> Facility phone 209-887-3785 209 887-3785 102 <br /> Facility mailing address 6888 N WALL RD 6888 N Wall Rd 108a <br /> LINDEN, CA 95236 Linden, CA 95236 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ED GIANNECCHINI JR Ed Giannecchini 140 <br /> Address 6888 N WALL RD 6888 N Wall Rd 143 <br /> LINDEN, CA 95236 Linden, CA 95236 144, 145, 146 <br /> Contact phone Not Specified 209 479-5980 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRAHW New PR#: R'OcS-2,1-17 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: Qi-IL-0 <br /> Assigned to: "L� <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> t <br /> Processed through CERS Integration Wizard by: jw Date: <br /> Accounting: Reviewed by: 11� Date: i Iy I 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 PR©525413 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO529544 FATINAH ZAREEF Active [ ] [ ] <br /> ERSC-ELECTRONIC REPOR'T'ING STATE SURCHARGE FI PR0534061 not assigned Inactive [ ] [ ] <br />