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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/21/2017 <br /> Submitted on: 41612017 6:09:05PM CERS ID: 10416031 <br /> Submitted by: George Vierra Email: gardngirl60@aol.com Facility ID in CERS: FA0002804 <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 : 4 <br /> Owner ID OW0002226 <br /> Owner name GEORGE VIERRA GEORGE VIERRA 111 <br /> Mailing address PO BOX 317 PO BOX 317 113 <br /> HOLT, CA 95234 HOLT, CA 95234 114, 115. 116 <br /> Work phone 209-482-4293 209 4824293 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002804 <br /> Facility name GV FARMS GV Farms 3 <br /> Site address 8181 W HWY 4 8181 W Highway 4 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-482-4293 209 4824293 102 <br /> Facility mailing address PO BOX 317 PO BOX 317 108a <br /> HOLT, CA 95234 HOLT, CA 95234 108b, 108c, 108d <br /> BILLING INFORMATION <br /> Contact name GV FARMS GEORGE VIERRA 140 <br /> Address PO BOX 317 PO BOX 317 143 <br /> HOLT, CA 95234 HOLT, CA 95234 144, 145. 146 <br /> Contact phone Not Specified 209 4824293 141 <br /> Contact email georgevierra@aol.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SOG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill [ j full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ��`°''rte Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ------- --- --------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations 4 chem units PRO539270 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PRO539269 CESAR RUVALCABA Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0539792 STACY RIVERA Active [ ] [ ] <br /> 2765-EMPLOYEE HOUSING-PERMANENT>180 DAYS PR0270053 OMRAN SOOD Inactive [ ] [ ] <br />