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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/3/2017 <br /> Submitted on: 5/1/2017 6:54:63PM CERS ID: 10185251 <br /> Submitted by: Richard Thompson Email: thompsonranch1913@gmail.com Facility ID in CERS: FA0016693 <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 OW0013534 <br /> Owner name Richard Thompson Richard Thompson 111 <br /> Mailing address 7603 S Jack Tone Rd 7603 S. Jack Tone Rd 113 <br /> Stockton, CA 95215 Stockton, CA 95215 114, 115, 116 <br /> Work phone 209-639-1583 209 639 1583 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016693 <br /> Facility name THOMPSON RANCH THOMPSON RANCH 3 <br /> Site address 7603 S JACK TONE RD 7603 S JACK TONE RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-639-1583 209 639 1583 102 <br /> Facility mailing address 7603 S. Jack Tone Rd. 7603 S. Jack Tone Rd. 108a <br /> Stockton, CA 95215 Stockton, CA 95215 108b,108c,toad <br /> BILLING INFORMATION <br /> Contact name THOMPSON RANCH Richard Thompson 140 <br /> Address 7603 S. Jack Tone Rd 7603 S. Jack Tone Rd 143 <br /> Stockton, CA 95215 Stockton, CA 95215 144, 145, 146 <br /> Contact phone 209-639-1583 209 639 1583 141 <br /> Contact email thompsonranch1913@gmail.com thompsonranch1913@gmail.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: arf1 P=�r Date: 3-[-7 <br /> Accounting: Reviewed by: Date: 51311 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Anrt hill-H r h �4,�;a@,I BY Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Fane Operations 1 chem units PR0524878 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0530308 ELIANNA FLORIDO Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO530306 ELIANNA FLORIDO Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532146 not assigned Inactive [ ] [ ] <br />