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SAN JOAQUi,,,-COUNTY ENVIRONMENTAL HEALTH—VEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 3/26/2015 <br /> CERS ID: 10186401 <br /> Submitted an: 112212015 11:36:16F'M Facility 1D in CERS: FA0017404 <br /> Submitted by: Jinmei Woan Email: jmwoan@hotmail.com <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION <br /> Owner ID OW0014245 DURHAM FERRY ORCHARD 111 <br /> Owner name DURHAM FERRY ORCHARD PO BOX 1955 113 <br /> Mailing address PO BOX 1955 TRACY, CA 95378 114, 115, 116 <br /> Work phoneTRACY, CA 95378 20960$2630 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017404 <br /> Facility name DURHAM FERRY ORCHARD DURHAM FERRY ORCHARD 103 <br /> Site address 2050 DURHAM FERRY RD 2050 DURHAM FERRY RD 104 <br /> City TRACY TRACY <br /> ZIP code 95378 95378 105 <br /> Facility phone 209-608-2630 (209) 608-2630 0 102 <br /> Facility mailing address PO BOX 1955 PO BOX 1955 108a <br /> TRACY, CA 95378 TRACY, CA 95378 105b,106c,108d <br /> BILLING INFORMATION <br /> Contact name DURHAM FERRY ORCHARD DURHAM FERRY ORCHARD 140 <br /> Address PO BOX 1955 PO BOX 1955 <br /> TRACY, CA 95378 TRACY, CA 95378 144, 145, 146 <br /> Contact phone Not Specified 2096082630 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQ'G HW [ ] LQG HW [ } RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalA'RP [ ] 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: `F Dater ' <br /> Accounting: Reviewed by: _� Date: ; 1V 1 S Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified __ By: __ Date: <br /> ACTIVE PROGRAMA RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description - Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525589 not assigned Active [ [ 1 <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0529354 WILLY NG Inactive [ ] [ I <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE Fa PRO532102 not assigned Inactive { ] [ <br />