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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/3012017 <br /> Submitted on: 5/24/2017 11:24:26AM CERS ID: 10185427 <br /> Submitted by: Michael Delucchi Email: mdfarms2789@yahoo.com Facility ID in CERS FA0016800 <br /> Information prior to C1W 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 OW0013641 <br /> Owner name MICHAEL DELUCCHI MICHAEL DELUCCHI 111 <br /> Mailing address 2789 S HOLLENBECK RD 2789 S HOLLENBECK RD 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone (209) 479-6333 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016800 <br /> Facility name MICHAEL DELUCCHI MICHAEL DELUCCHI 3 <br /> Site address 2795 S HOLLENBECK RD 2795 S HOLLENBECK RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-479-6333 (209)479-6333 102 <br /> Facility mailing address 2789 S HOLLENBECK RD 2789 S HOLLENBECK RD 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 108b, 1o8c, 108d <br /> BILLING INFORMATION <br /> Contact name MICHAEL DELUCCHI MICHAEL DELUCCHI 140 <br /> Address 17055 E HWY 4 2789 S. Hollenbeck Rd 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone Not Specified (209) 479-6333 141 <br /> Contact email mdfarms2789@yahoo,corn 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: GtA^ + Date: <br /> Accounting: Reviewed by t/� Dake: _ bClerical: [ ] 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 /> 1958-HM-Farm Operations 1 chem units PR0524-98 5 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONSIYR PRO530638 ELIANNA FLORIDO Active <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO530637 JEFFREY WONG Inactive ( ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531875 not assigned Inactive [ ] ( ] <br />