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Date run 6/6/2014 8:27:01AM SAN JO 71N COUNTY ENVIRONMENTAL HEAT `DEPARTMENT Report#5021 <br /> Run by <br /> Page1 <br /> Facility Information as of 6/6/2014 <br /> Record Selection Criteria: Facility ID FA0012458 <br /> Make changesrcorrections In RED ink. <br /> INFORMATION CHANGE(date) �7 <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION Number of facilities for this owner: 3 SSN/Fed Tax ID <br /> Owner ID OW0009663 New Owner ID <br /> Owner Name SUTTER HOME WINERY INC. <br /> Owner DBA <br /> Owner Address PO BOX 248 <br /> ST HELENA, CA 945740248 <br /> Home Phone Not Specified <br /> Work/Business Phone 707-963-3104 11 <br /> Mailing Address P.O. BOX 248 <br /> ST. HELENA, CA 94574 <br /> Care of <br /> FACILITY FILE INFORMATION <br /> Facility ID/CERS ID FA0012458 10340008 <br /> Facility Name SUTTER HOME WINERY INC. <br /> Location 18667 Jacob Brack Rd <br /> Lodi, CA 95242 <br /> Phone 209-368-5971 x <br /> Mailing Address PO BOX 248 <br /> ST HELENA, CA 94574 <br /> Care of SUTTER HOME WINERY <br /> Location Code 99- UNINCORPORATED P Alt Phone <br /> BOS District 004-VOGEL, KEN Fax <br /> APN 01109003 Entail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name ERIC JENSSEN <br /> Title VP ENGINEERING <br /> Day Phone 209-368-5971 <br /> Night Phone 707-963-5928 x2717 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0020315 New Account ID: <br /> Mail Invoices to #F, Mail Invoices to: Owner / Facility / Account <br /> Account Name SUTTER HOME WINERY INC. (CircleOni <br /> Account Balance as of 6/6/2014: $558.00 <br /> (Circle One) <br /> Transfer to Activ nactve <br /> ProgramlElement and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 1921 -HMBP-Regular-Primary Location PRO520830 EE0008709-JAMIE DE LA ROSA Active Y N A I D <br /> 1958-HM-Farm Operations PRO524831 Inactive Y N A I D <br /> 1963-CaiARP PROGRAM 3 FACILITY PRO530013 EE0008317-RAYMOND VON FLUE Active Y N A I D <br /> 1995-CaIARP FAC STATE SURCHARGE FEE PRO519005 EEOO00000-HAZ MAT SJC DES Active Y N A I D <br /> 2220-SM HW GEN<5 TONSNR PR0537947 EE0001422-ARIS VELOSO Active Y N A I D <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0516098 EEOO000o0-HAZ MAT SJC DES Inactive Y N A I D <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE F PRO516099 EE0009999-SITE UNASSIGNED Inactive Y N A I D <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARG PRO533778 Inactive Y N A I D <br /> 4650-NTNC WATER SYSTEM W/TX WA0515761 EE0005838-ADRIENNE ELLSAESSER Active Y N A I D <br /> BILLING and COMPLIANCE ACIW OWLEDGEMENT: I,Ne undersigned owner,operator or agent of same,acknowledge that all site,ander project specti PHS'EHD hourly charges assouated with this facility, <br /> or activity will be bilied to the party identified as the OWNER on this farm. I also certify that all operations will be Performed in accordance with all applicable Ordinance Codes ander Standards and State and« <br /> Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$25.00= Amount Paid Date <br /> Water System to be TRANSFERED: Amount Paid Date <br /> Payment T e Check Number Re by <br /> REHS: 1'(�rA i i Date / / Account out: Date LO IL/ <br /> COMMENTS: <br />