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SAN JOAQUII`rOUNTY ENVIRONMENTAL HEALTh,�PARTMENT <br /> E7 Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/29/2015 <br /> Submitted on: 1/28/2015 9:09:27AM CERS ID: 10186405 <br /> Submitted by: Michael Brenkwitz Email: mbrenkwitz@me.com Facility ID in CERS: FA0017407 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014248 <br /> Owner name MICHAEL J BRENKWITZ MICHAEL J BRENKWITZ 111 <br /> Mailing address 3396 KENNER 3396 KENNER 113 <br /> TRACY, CA 95304 TRACY, CA 95304 114, 115, 116 <br /> Work phone (209) 835-4539 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017407 <br /> Facility name MICHAEL J BRENKWITZ MICHAEL J BRENKWITZ 3 <br /> Site address 3396 KENNER 3396 KENNER 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 209-835-4539 (209) 835-4539 102 <br /> Facility mailing address 3396 KENNER 3396 KENNER 108a <br /> TRACY, CA 95304 TRACY, CA 95304 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name MICHAEL J BRENKWITZ MICHAEL J BRENKWITZ 140 <br /> Address 3396 KENNER 3396 KENNER 143 <br /> TRACY, CA 95304 TRACY, CA 95304 144, 145, 146 <br /> Contact phone Not Specified (209) 835-4539 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: P i20 S 3?5Z <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: y zsL 1 <br /> fUSeSt o;! o ,rr He J Assigned to: F-ale f!.. <br /> Please bill: [ full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 15 Date_- (^ -1-!S - <br /> �� I s Clerical: File Relabel file <br /> Accounting: Re ewed by: Date:�_ [ ] [ ] Create new file <br /> 34 Acct billed [ ] Surcharge verified 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 PR0525592 MICHAEL PARISSI Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0530959 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532670 not assigned Inactive [ ] [ ] <br />