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SAN JOAQUn, COUNTY ENVIRONMENTAL HEALTH'DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/10/2015 <br /> Submitted on: 1121/2015 10:40:45AM CERS ID: 10185221 <br /> Submitted by: philip martin Email: philmartinfarms@cs.com Facility ID in CERS: FA0016646 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0013490 <br /> Owner name MARTIN, NANETTE MARTIN, NANETTE 111 <br /> Mailing address 12067 W LAMMERS RD 12067 W LAMMERS RD 113 <br /> TRACY, CA 95304 TRACY, CA 95304 114, 115, 116 <br /> Worm phone (209) 835-5258 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0016646 <br /> Facility name MARTIN FARMS MARTIN FARMS 3 <br /> Site address 12067 W LAMMERS RD 12067 W LAMMERS RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 209-835-5258 (209) 835---5258 102 <br /> Facility mailing address 12067 W LAMMERS RD 209 479-1148 108a <br /> TRACY, CA 95304 AC 5304 108b, 108c,1080 <br /> BILLING INFORMATION <br /> Contact name MARTIN FARMS MARTIN FARMS 140 <br /> Address 12067 W LAMMERS RD 12067 W LAMMERS RD 143 <br /> TRACY, CA 95304 TRACY, CA 95304 144; 145, 146 <br /> Contact phone 209-835-5258 (209) 835-5258 141 <br /> Contact email 142 <br /> Mail invoices to Facility x:$: <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 <br /> calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ��'�` , Date: �- t0 1 <br /> Accounting: Reviewed by: Date: 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 Lmployee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PR0525845 MICHAEL PARISSI Active [ ] [ 1 <br /> 4740-WASTE TIRE SITE-EXEMPT PRO524792 BENJAMIN ESCOTTO Active [ ] ( 1 <br /> 2840-AST EXEMPT FAG < 1,320 GAL PRO529349 WILLY NG Inactive [ I [ 1 <br /> ERSC-ELECTRONkC REPORTING STATE SURCHARGE F! PRO534214 not assigned Inactive ( ] 11 <br />