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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/10/2015 <br /> Submiffed on: 3/17/2015 3:00:19PM CERS ID: 10185571 <br /> Submitted by: Greg Arnaudo Email: gregarnaudo@att.net Facility ID in CERS: FA0016887 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013728 <br /> Owner name ABA FARMS ABA FARMS 111 <br /> Mailing address 16505 S TRACY BLVD 16505 S TRACY BLVD 113 <br /> TRACY, CA 95304 TRACY, CA 95304 114, 115, 116 <br /> Work phone 209-835-0406 209-835-0406 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016887 <br /> Facility name ABA FARMS ABA FARMS 3 <br /> Site address 9447 HOWARD RD 9447 HOWARD RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-835-0406 (209) 835-0406 0 102 <br /> Facility mailing address 16505 S TRACY BLVD 16505 S TRACY BLVD 108a <br /> TRACY, CA 95304 TRACY, CA 95304 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ABA FARMS ABA FARMS 140 <br /> Address 16505 S TRACY BLVD 16505 TRACY BLVD 143 <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 144, 145, 146 <br /> Contact phone 209-835-0406 209-835-0406 141 <br /> Contact email 142 <br /> Mail invoices to Account n <br /> Program record [ ] HMBP SQG HW [ ] LOG HW [ ] RCRA HW New PR#: r 053'1'19 f� <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: aAa if) <br /> Assigned to: m i C.�eo" {k'nr i <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: f Date: -4//aI/S <br /> - -- <br /> Accounting: Reviewed by: b Date: CI; ]S Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> Acct billed [ ] Surcharge verified Jrl�l�wt b(�(u( 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 PR0525072 ROBERT LOPEZ Active <br /> 2830-AST FAC -SPCC EXEMPT PR0530352 THUYTRAN Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531856 not assigned Inactive ] [ ] <br /> I,w{a� s34i <br />