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SAN JOAQUI.%_�'OUNTY ENVIRONMENTAL HEALTF�,_--PARTMENT <br /> Changes to Envision Connect by CERS Integration Wizard Date run: 1/1612015 <br /> Submitted on: 1/8/2015 11:27:52AM CERS ID: 10181677 <br /> Submitted by: robert caffese Email: caffese@msn.com Facility ID in CERS: FA0004716 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0003620 <br /> Owner name CAFFESE FARMING CO CAFFESE FARMING CO 111 <br /> Mailing address 6464 LIVE OAK RD 6464 LIVE OAK RD 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115, 116 <br /> Work phone 209-463-1869 209-463-1869 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004716 <br /> Facility name CAFFESE FARMING CO CAFFESE FARMING CO 3 <br /> Site address 6464 LIVE OAK RD 6464 LIVE OAK RD 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-463-1869 (209) 463-1869 102 <br /> Facility mailing address 6464 LIVE OAK RD 6464 LIVE OAK RD 108a <br /> LODI, CA 95240 LODI, CA 95240 108b, 108c,load <br /> BILLING INFORMATION <br /> Contact name CAFFESE FARMING CO CAFFESE FARMING CO 140 <br /> Address 6464 LIVE OAK RD 6464 LIVE OAK RD 143 <br /> LODI, CA 95240 LODI, CA 95240 144, '145, 146 <br /> Contact phone 209-463-1869 209-463-1869 141 <br /> Contact email caffese@msn.com 142 <br /> Mail invoices to Owner <br /> Program record ( ] HMBP SOG HW [ ] LOG HW [ ] RCRA HW New PR#: 70�i 3�`17d <br /> created [ ], Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 2'L2 <br /> Assigned to' VC-W50 <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: Date: ]�yV Clerical: [ ] File [ ] Relabel file Create new file <br /> [ ] 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 PRO526826 .JAMIE DE LA ROSA Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO530452 ARIS VELOSO Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PR0500297 STEVE SASSON Inactive [ ] [ ] <br /> €RSC ELECTRONIC REPORTING STATE SURCHARGE Fl PRO534569 not assigned Inactive <br />