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SAN JOAQUIftOUNTY ENVIRONMENTAL HEALTHEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 7/25/2014 <br /> Submitted on: 2/26/2013 8:49:44PM CERS ID: 10413202 <br /> Submitted by: John Shinn Email:john@shinnranch.com Facility ID in CERS: <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0019877 <br /> Owner name Bill Shinn Bill Shinn 111 <br /> Mailing address P.O. Box 1051 P.O. Box 1051 113 <br /> Woodbridge, CA 95258 Woodbridge, CA 95258 114,115, 116 <br /> Work phone 209-369-4292 209-3694292 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022453 <br /> Facility name J &J Shinn Ranch Shop J &J Shinn Ranch Shop 3 <br /> Site address 21500 N Davis Rd 21500 N Davis Rd 103 <br /> City Lodi Lodi 104 <br /> Zip code 95242 95242 105 <br /> Facility phone 209-369-4903 209-369-4903 102 <br /> Facility mailing address P.O. Box 1051 P.O. Box 1051 108a <br /> Woodbridge, CA 95258 Woodbridge, CA 95258 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name Sharon Shinn Sharon Shinn 140 <br /> Address P.O. Box 1051 P.O. Box 1051 143 <br /> Woodbridge, CA 95258 Woodbridge, CA 95258 144, 145, 146 <br /> Contact phone 209-369-4292 209-3694292 141 <br /> Contact email Sharon@shinnranch.com Sharon@shinnranch.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW sw PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: �`1Z <br /> Assigned to: <br /> Please <br /> P�i{S— <br /> Please bill: full calendar year [ ] prorate this calendar year ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �/ ate: <br /> -------------------------- ---------- <br /> Accounting: Reviewed by: �—Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [A Acct billed r By: —_ Date_—— <br /> !�] ----- ------ ---- - - <br /> ACTIVE PROGRAM RECORDS P IOR TO PROCESSING THROUGH CIW <br /> Program Element and Description ecor Emolovee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0539264 JAMIE DE LA ROSA Active [ ] [ ] <br /> C <br />