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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/27/2015 <br /> Submitted on: 2/9/2015 5:51:19PM CERS ID: 10186511 <br /> Submitted by: John Rocha Email: nursebonnielou@sbcglobal.net Facility ID in CERS: FA0017482 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014323 <br /> Owner name ROCHA FARMS John Rocha 111 <br /> Mailing address 10534 DAVIS RD 10534 DAVIS RD 113 <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 114, 115, 116 <br /> Work phone (209)477-6740 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017482 <br /> Facility name ROCHA FARMS ROCHA FARMS 3 <br /> Site address 11750 W EIGHT MILE RD 11750 W EIGHT MILE RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95209 95209 105 <br /> Facility phone 209-477-6740 (209)477-6740 102 <br /> Facility mailing address 10534 DAVIS RD 10534 DAVIS RD 108a <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name ROCHA FARMS ROCHA FARMS 140 <br /> Address 10534 DAVIS RD 'f 10534 DAVIS RD 143 <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 144, 145, 146 <br /> Contact phone Not Specified ( 141 <br /> Contact email k V/' 142 <br /> Mail invoices to � Y <br /> Program record [ ] HMBP [ ] 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 /> Processed through CERS Integration Wizard by: '05 Date: _�_�7_1r, <br /> Accounting: Reviewed by: ZG' _ Date: 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 a HM-Farm Operations PRO525667 HAZA SAEED Active [ ) [ I <br /> 2220-SM HW GEN<5 TONS/YR PR0530414 FATINAH ZAREEF Active <br /> 2830-AST FAC -SPCC EXEMPT PR0530413 FATINAH ZAREEF Active <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531404 not assigned Inactive [ ] [ <br />