Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/25/2017 <br /> Submitted on: 7/25/2017 11:11:24AM CERS ID: 10181809 <br /> Submitted by: Matt Katicich Email: kmackey@croceco.com Facility ID in CERS: FA0005364 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner : 1 <br /> Owner ID OW0004210 <br /> Owner name KATICICH, MATT P KATICICH, MATT P 111 <br /> Mailing address 9974 E FAIRCHILD RD 9974 E FAIRCHILD RD 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-931-2016 (209) 931-2016 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005364 <br /> Facility name KATICICH RANCH KATICICH RANCH 3 <br /> Site address 9974 E FAIRCHILD RD 9974 E FAIRCHILD RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-688-4140 (209) 688-4140 <br /> 102 <br /> Facility mailing address 1101 W WALNUT ST 9974 E FAIRCHILD RD 108a <br /> STOCKTON, CA 95203 STOCKTON, CA 95215 108b,108c,toad <br /> BILLING INFORMATION <br /> Contact name KATICICH RANCH KATICICH RANCH 140 <br /> Address 1101 W WALNUT ST 1101 W. Walnut St 143 <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 144, 145, 146 <br /> Contact phone Not Specified (209) 931-2016 141 <br /> Contact email katicichranch@gmail.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA <br /> [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year <br /> n/ y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 'l'OM Ee— Date: <br /> Accounting: Reviewed by: � Date: 7 31 I 1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1862-CalARP PROGRAM 2 FACILITY PRO541935 HAZA SAEED Active [ ] [ ] <br /> 1958-HM-Farre Operations 1 chem units PR0525857✓ HAZA SAEED Active [ [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0529733 ELIANNA FLORIDO Active [ ] <br /> 2333-EXCLUDED FARM TANK PR0502210 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0529732 CINDY VO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534204 not assigned Inactive [ ] [ ] <br />