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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/9/20]14 <br /> Submitted on: 12/3/2014 2:01:50PM <br /> Submitted by: Oralia Jimenez Email: onovineyards@aol.com CERS ID: 91 <br /> FA0020 <br /> Facility ID in CERS: FA0020355 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0016713 <br /> Owner name O&O JIMENEZ FARM O&O JIMENEZ FARM <br /> Mailing address 22355 N HWY 99 22355 N HWY 99 111 <br /> ACAMPO, CA 95220113 <br /> Work phone ACAMPO, CA 95220 114, 115, 11E <br /> (209) 333-1572 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0020355 <br /> Facility name O&O JIMENEZ FARM O&O JIMENEZ FARM 3 <br /> Site address 22355 N HWY 99 22355 N HWY 99 103 <br /> City ACAMPO 104 <br /> ZIP code 95220 95220 105 <br /> Facility phone 209-333-1572 (209) 333-1572 102 <br /> Facility mailing address 22355 N HWY 99 ACAMPO 22355 N HWY 99 108a <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 108b, iosc,10E <br /> BILLING INFORMATION <br /> Contact name O&O JIMENEZ FARM O&O JIMENEZ FARM 140 <br /> Address 22355 N HWY 99 22355 N HWY 99 143 <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 144, 145, 14( <br /> Contact phone Not Specified (209) 333.1572 141 <br /> Contact email 142 <br /> Mail invoices to Gwner. <br /> Program record j ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: G.;& q6& i <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 7?2 <br /> Assigned to: V?14� <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year j ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: /a Date: 1?. �t �iy <br /> ;r-,— -74 <br /> Accounting: Reviewed by: ---7? ` Date: �' Clerical: [w f File [ ] Relabel file [ ] Create new file <br /> [ ] Aird F[ ] ' urchar to By: Date: <br /> _ _ �— <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 PR0535240 not assigned Active I ] l ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO535264 not assigned Inactive I ] l <br />