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I:— — I I SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to Envision Connect by CERS ration Wizard `�I( <br /> Date run: 7/17/2014 <br /> Submitted on: 1/24/2014 3:27:47PM CERS ID: 10418014 <br /> Submitted by: Terry Paoletti Email: tsquareyp@aol.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 OW0018468 Tkha Y/4--Zy -5' !Ne- <br /> Owner name TANAKA FARMS INC m 111 <br /> Mailing address 8421 TERRACE DR 8421 Terrace Drive 113 <br /> STOCKTON, CA 95212 Stockton, CA 95212 114, 115, 116 <br /> Work phone 209-931-1889 209-931-2202 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022189 <br /> Facility name TANAKA FARMS FAIRCHILD ROAD Tanaka Farms Fairchild Road 3 <br /> Site address 7900 E FAIRCHILD RD 7900 E Fairchild Rd 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-931-1889 209-931-2202 102 <br /> Facility mailing address 8421 TERRACE DR 8421 Terrace Drive 108a <br /> STOCKTON, CA 95212 Stockton, CA 95212 108b,1080,coed <br /> BILLING INFORMATION <br /> Contact name TANAKA FARMS FAIRCHILD ROAD Terry Paoletti 140 <br /> Address 8421 TERRACE DR 8421 Terrace Drive 143 <br /> STOCKTON, CA 95212 Stockton, CA 95212 144, 145, 146 <br /> Contact phone Not Specified 209-931-2202 141 <br /> Contact email tsquareyp@aol.com 142 <br /> Mail invoices to Facility <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: <br /> Accounting: Reviewed by:�Date: Clerical: File [ ] Relabel file [ ] Create new file <br /> ' <br /> Acc d [ ] Surcha n ie yB : Date: <br /> ---- ——————— ---- — <br /> ------------ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Emalovee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0538642 ROBERT LOPEZ Active [ 1 [ <br />