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SAN JOAQUIN-COUNTY ENVIRONMENTAL HEALTH-ffEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3f2312015 <br /> Submitted on: 216/2015 10:42:10AM CERS ID: 10185493 <br /> Submitted by: Dwayne Heckenlaible Email: Chardonnay@clearwire,net Facility ID in CERS: FA0016842 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013683 <br /> Owner name HECKENLAIBLE FARM INC HECKENLAIBLE FARM INC 111 <br /> Mailing address 8618 E HARNEY LN 14117 North Locust Tree Road 113 <br /> LODI, CA 95240 LODI, CA 95240 114, 115, 116 <br /> Work phone 209 993 0819 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016842 <br /> Facility name HECKENLAIBLE FARM INC HECKENLAIBLF FARM INC 3 <br /> Site address 8618 E HARNEY LN 8618 E HARNEY LN 103 <br /> City LODI LODI 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 209-339-8946 (209) 993 0819 102 <br /> Facility mailing address 8618 E HARNEY LN 14117 North Locust Tree Road 108a <br /> LODI, CA 95240 LODI, CA 95240 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name HECKENLAIBLE FARMS HECKENLAIBLE FARMS 140 <br /> Address 8618 E HARNEY LN 8618 E HARNEY LN 143 <br /> LODI, CA 95240 LODI, CA 95240 144, 145, 146 <br /> Contact phone Not Specified 209 993 0819 141 <br /> Contact email chardonnay@clearwire.net 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG 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: "1�3-j 5 <br /> Accounting: Reviewed by: t15 Date: 30411s, Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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 PRO525027 JAMIE DE LA ROSA Active [ } [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO529278 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534076 not assigned Inactive [ ] [ ] <br />