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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/3/2015 <br /> Submitted on: 12/3/2015 7:11:38AM CERS ID: 10185871 <br /> Submitted by: frank stonebarger Email: fmga@aol.com Facility ID in CERS: FA0017084 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0013925 <br /> Owner name Glenn Goold FRANK C STONEBARGER 111 <br /> Mailing address PO Box 759 8408 N BEECHER RD 113 <br /> Linden, CA 95235 STOCKTON, CA 95215 114, 115, 116 <br /> Work phone 209-931-2310 209-401-6790 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017084 <br /> Facility name Walnut Huller FRANK C STONEBARGER 3 <br /> Site address 8408 N Beecher Rd 8408 N BEECHER RD 103 <br /> City Stockton STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-931-2310 (209) 401-6790 102 <br /> Facility mailing address PO Box 759 8408 N BEECHER RD 108a <br /> Linden, CA 95236 STOCKTON, CA 95215 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Glenn Goold FRANK C STONEBARGER 140 <br /> Address PO Box 759 8408 N BEECHER RD 143 <br /> Linden, CA 95236 STOCKTON, CA 95215 144, 145, 146 <br /> Contact phone209-931-2310 209-401-6790 141 <br /> Contact email grgo�Id@yahoold.com 142 <br /> Mail invoices to Ow�(er <br /> Program record [ ] HMB((P [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> r <br /> Processed through CERS Integration Wizard by: U,4J Date: 1 3 t 7 <br /> ------------------------------------------ - ------- <br /> Accounting: Reviewed by:_b Date: I Z 4 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 Reacthiated Inactivated <br /> 1958-HM-Farm Operations PRO525269 MUNIAPPA NAIDU Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534767 not assigned Inactive [ ] [ ] <br /> D [ L'tb(,y �-M1LCtil VVA3 IrJCoa-fr✓r✓lul %,1Mt(-9 1�0 (} C0` (TD2 <br /> tNCn or) � \TC LANti)C� LLill'S [ o412-t)00 WAS k TN/6i <br /> t0 ( 0tS5,61 1 . <br />