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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/1812017 <br /> Submitted on: 1212812016 8:04:04AM CERS ID: 10186787 <br /> Submitted by: joel harris Email: joel@farmfresh.com Facility ID in CERS FA0018146 <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 OW0014889 <br /> Owner name ONIONS ETC INC David Rajkovich 111 <br /> Mailing address PO BOX 30667 PO Box 30667 113 <br /> STOCKTON, CA 95213 Stockton, CA 95213-0667 114. 115, 116 <br /> Work phone 209-943-3600 209-983-9700 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018146 <br /> Facility name ONIONS ETC INC ONIONS ETC INC 3 <br /> Site address 1003 HUMPHREYS DR BLDG 1003 HUMPHREYS DR BLDG 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95203 95203 105 <br /> Facility phone 209-943-3600 209-983-9700 102 <br /> Facility mailing address PO BOX 30667 7735 S. State Route 99, West 'Frontage Rd. 108a <br /> STOCKTON, CA 95213 Stockton, CA 95215 108b, 108c.108d <br /> BILLING INFORMATION <br /> Contact name ONIONS ETC. INC Sandy Smith 140 <br /> Address PO BOX 30667 PO Box 30667 143 <br /> STOCKTON, CA 95213 Stockton, CA 95213-0667 144, 145, 146 <br /> Contact phone 209-943-3600 209-983-9700 141 <br /> Contact email ap@farmfresh.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [;x] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: PROsLil 5lD <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 27_2 0 <br /> Assigned to: 5 rwe"r& <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] lnext calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: knOAll Date: 1.1 j�11 1 <br /> Accounting: Reviewed by: ,t_ Date: I 20 if 7 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 /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0526789 ROBERT LOPEZ Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534431 not assigned Inactive [ ] [ ] <br />