Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />L_ Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/16/20fi5 <br />Submitted on: 1/5/2015 11:11:49AM CERS ID: 10185941 <br />Submitted by: Jahn Kirschenman Email: jk7506@live.com Facility ID in CERS: FA0017130 <br />Information prior to CIW processing Information after CIW processing <br />CERS <br />OWNER INFORMATION (current EC database) (current submittal) <br />field <br />Owner ID OW0013971 <br />Owner name KIRSCHENMAN FARMS KIRSCHENMAN FARMS <br />Mailing address 13145 N LOWER SACRAMENTO RD <br />111 <br />13145 N Elderberry Court <br />LODI, CA 95242 <br />113 <br />LODI, CA 95242 <br />Work phone 209-649-8473 209-6498473 <br />114, 115, 116 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0017130 <br />Facility name KIRSCHENMAN FARMS KIRSCHENMAN FARMS <br />3 <br />Site address 13145 N LOWER SACRAMENTO RD 13145 N Elderberry Court <br />103 <br />City LODI LODI <br />104 <br />ZIP code 95242 95242 <br />105 <br />Facility phone 209-649-8473 209-6498473 <br />102 <br />Facility mailing address 13145 N LOWER SACRAMENTO RD 13145 NElderberry Court <br />108a <br />LODI, CA 95242 LODI, CA 95242 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name KIRSCHENMAN FARMS KIRSCHENMAN FARMS <br />140 <br />Address 13145 N LOWER SACRAMENTO RD 13145 N Elderberry Court <br />143 <br />LODI, CA 95242 LODI, CA 95242 <br />144, 145, 146 <br />Contact phone 209-649-8473 209-6498473 <br />141 <br />Contact email <br />142 <br />Mail invoices to <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: Date: b l "I <br />Accounting: Reviewed by: Date: 3 (0 Clerical: [ ] FileVRelabel file [ ]Create <br />new file <br />Acct billed Surcharge verified <br />C ] [ ] 9 By.. Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated <br />Inactivated <br />1958 - HM -Farm Operations PR0525315 JAMIE DE LA ROSA Active [ ] <br />[ ] <br />2220 - SM HW GEN <5 TONSNR PR0530427 ARIS VELOSO Active [ ] <br />[ ] <br />2830 - AST FAC - SPCC EXEMPT PR0530426 ARTS VELOSO Active [ ] <br />[ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO532504 not assigned Inactive [ 1 <br />I 1 <br />AVpL Vk4-X v-1 4L-0 t'-► QA4-te4 , VI&.re-A- <br />xU <br />LC,b"J of , <br />