Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/12/2014 <br /> Submitted on: 121912414 12:23:51 PM CERS ID: 10186807 <br /> Submitted by: Richard Samra Email: rsamra58@gmail.com Facility ID in CERS: FA0018157 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014900 <br /> Owner name PHILLAUR CORPORATION Richard Samra 111 <br /> Mailing address 3212 SHELTER COVE LN 3212 SHELTER COVE LN 113 <br /> ELK GROVE, CA 95758 ELK GROVE, CA 95758 114, 115, 11 r: <br /> Work phone 916-275-3150 9162753150 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018157 <br /> Facility name PHILLAUR CORPORATION PHILLAUR CORPORATION 3 <br /> Site address 14680 JAHANT RD 14680 Jahant Rd 103 <br /> City ACAMPO 104 <br /> ZIP code 95240 95240 105 <br /> Facility phone 916-275-3150 9162753150 102 <br /> Facility mailing address 3212 SHELTER COVE LN Acampo 3212 SHELTER COVE LN 108a <br /> ELK GROVE, CA 95758 ELK GROVE, CA 95758 108b. 10ac, 1oE <br /> BILLING INFORMATION <br /> Contact name PHILLAUR CORPORATION PHILLAUR CORPORATION 140 <br /> Address 3212 SHELTER COVE LN 3212 SHELTER COVE LN 143 <br /> ELK GROVE, CA 95758 ELK GROVE, CA 95758 144, 145, 14f <br /> Contact phone 916-275-3150 9162753150 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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 /> [ I Ac � ed [ j Surchar I ie� 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 PRO526800 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PR0539241 ARTS VELOSO Active [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0530440 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533033 not assigned Inactive [ ] [ ] <br />