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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 3/26/2015 <br /> Submitted on: 1/27/2015 11:31:47AM CERS ID: 10186107 <br /> Submitted by: JOHN N DONDERO III Email: jdondero3@gmail.com Facility ID in CERS: FA0017223 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014064 <br /> Owner name JOHN DONDERO RANCH JOHN DONDERO FARMS INC 111 <br /> Mailing address 1776 N MURRAY RD 1776 N MURRAY RD 113 <br /> LINDEN, CA 952369747 LINDEN, CA 95236-9747 114, 115, 116 <br /> Work phone 209401--9784 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017223 <br /> Facility name JOHN DONDERO RANCH JOHN DONDERO FARMS INC 3 <br /> Site address 1700 N MURRAY RD 1700 N MURRAY RD 103 <br /> City LINDEN LINDEN 104 <br /> ZIP code 952369747 95236-9747 105 <br /> Facility phone 209-401-9785 209-931-2634 102 <br /> Facility mailing address 1776 N MURRAY RD 1776 N MURRAY RD 108a <br /> LINDEN, CA 952369747 LINDEN, CA 95236-9747 108b, mac,toad <br /> BILLING INFORMATION <br /> Contact name JOHN DONDERO RANCH JOHN DONDERO FARMS INC 140 <br /> Address 1776 N MURRAY RD 1776 N MURRAY RD 143 <br /> LINDEN, CA 952369747 LINDEN, CA 95236-9747 144, 145, 146 <br /> Contact phone 209-401-9785 2094019784 141 <br /> Contact email jdondero3@gmail.com 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: 0�'V" Date: - 7s <br /> Accounting: Reviewed by: 1,6L Date: 3 qtr 1 S 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-Farre Operations PR0525408 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0530634 JEFFREY WONG Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0530633 JEFFREY WONG Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533889 not assigned Inactive [ ] [ ] <br />