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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT_ <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/1612014 <br /> Submifted on: 12/13/2014 1:00:46PM CERS ID: 10185663 <br /> Submitted by: ROBERT KAMPS Email: KAMPS924 a@VERIZON,NET Facility ID in CERS: FA0016945 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013786 <br /> Owner name RL KAMPS FARMS INC RL KAMPS FARMS INC 111 <br /> Mailing address 21123 S JACK TONE RD 21123 S JACK TONE RD 113 <br /> RIPON, CA 95366 RIPON, CA 95366 114, 115, 11E <br /> Work phone 209 599-7543 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016945 <br /> Facility name RL KAMPS FARMS INC RL KAMPS FARMS INC 3 <br /> Site address 21123 S JACK TONE RD 21123 S JACK TONE RD 103 <br /> City RIPON 104 <br /> ZIP code 95366 95366 105 <br /> Facility phone 209-599-7543 (209) 599-7543 0 102 <br /> Facility mailing address 21123 S JACK TONE RD RIPON 21123 S JACK TONE RD 108a <br /> RIPON, CA 95366 RIPON, CA 95366 108b, 108c toe <br /> BILLING INFORMATION <br /> Contact name RL KAMPS FARMS INC RL KAMPS FARMS INC 140 <br /> Address 21123 S JACK TONE RD 21123 S JACK TONE RD 143 <br /> RIPON, CA 95366 RIPON, CA 95366 144, 145, 14E <br /> Contact phone Not Specified 2095731234 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: Date: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ I Create new fide <br /> [ ] Acc ed [ ] Surchar a 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-Farm Operations PR0525130 MICHAEL PARISSI Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO530298 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE 171 PR0531331 not assigned Inactive [ ] [ ] <br />