Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21J2014 <br /> Submitted on: 1/15/2013 10:00:51AM <br /> Submitted by: Elmo Bacchini Email: ebacchini164@gmaii.com CERS 1 A00036 5 <br /> Facility ID in CERR S: FA0003664 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002734 <br /> Owner name BACCHINI, DELSIE E BACCHINI, DELSIE E <br /> Mailing address 16446 E COPPEROPOLIS RD 16446 E COPPEROPOLIS RD 111 <br /> 113 <br /> LINDEN, CA 95236 <br /> Work phone LINDEN, CA 95236 i14, 115, 116 <br /> 2099488010 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003664 <br /> Facility name BACCHINI', DELSIE E BACCHINI, DELSIE E <br /> Site address 16446 E COPPEROPOLIS RD 16446 E COPPEROPOLIS RD 3 <br /> City LINDEN LINDEN 103 <br /> Zip code 95236 95236 104 <br /> Facility phone 209-948-8010105 <br /> (209) 948-8010 0 102 <br /> Facility mailing address 16446 E COPPEROPOLIS RD 16446 E COPPEROPOLIS RD <br /> 108a <br /> LINDEN, CA 95236 LINDEN, CA 95236 108b,108c,toed <br /> BILLING INFORMATION <br /> Contact name BACCHINI, DELSIE E BACCHINI, DELSIE E 140 <br /> Address 16446 E COPPEROPOLIS RD 16446 E COPPEROPOLIS RD 143 <br /> LINDEN, CA 95236 LINDEN, CA 95236 144, 145, 146 <br /> Contact phone Not Specified 2099488010 141 <br /> Contact email <br /> Mail invoices to Facility./ 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ J RCRA HW New PR##: <br /> created [ ] Tiered permit ( ] APSA [ ] CaIARP <br /> [ ] 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: I`" Date: ✓ ( � `tel <br /> Accounting: Reviewed by: _Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acc - ed_ [ ] SUrchar verified— -- – — By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Eml2loyee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525873 not assigned Active [ ] [ <br /> 2220-SM HW GEN<5 TONS/YR PR0529703 JEFFREY WONG Active [ ] [ <br /> 2333-FARM UST#1 FACILITY-obsolete PR0234160 LETITIA BRIGGS Inactive [ I [ I <br /> 2830-AST FAC -SPCC EXEMPT PRO529702 JEFFREY WONG Active, Exempt <br />