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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 612112014 <br /> Submitted on: 12/31/2013 2:52:22PM CERS ID: 10181819 <br /> Submitted by: Steve Lagomarsino Email: sc[2csl@aol.com Facility ID in CERS: FA0005399 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0004240 <br /> Owner name LAGOMARSINO BROS LAGOMARSINO BROS 111 <br /> Mailing address 5610 E MAIN ST 5610 E MAIN ST 113 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 114, 115, 115 <br /> Work phone 209-479-3086 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005399 <br /> Facility name LAGOMARSINO BROS LAGOMARSINO BROS 3 <br /> Site address 6040 E MAIN ST 6040 E MAIN ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 209-941-9656 (209) 941-9656 0 102 <br /> Facility mailing address 5610 E MAIN ST 5610 E MAIN ST 108a <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 costa, iasc,load <br /> BILLING INFORMATION <br /> Contact name LAGOMARSINO BROS LAGOMARSINO BROS 14 <br /> Address 5610 E MAIN ST 5610 E MAIN ST 143 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone 209-941-9656 209-479-3086 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: T Date: ' <br /> Accounting: Reviewed by: . Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acc ed [ ] Surch verif�— By: Date: <br /> _. � eri <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 PRO525824 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0530716 JEFFREY WONG Active [ ] [ ] <br /> 2333-FARM UST#1 FACILITY-obsolete PR0502316 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO530715 JEFFREY WONG Active, Exempt [ ] [ J <br />