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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/7/2016 <br />Submitted on: 5/11/2016 2:52:52PM <br />Submitted by: John Giannini Email: john@vrwinery.com <br />CERS ID: 10184371 <br />Facility ID in CERS: FA0013507 <br />Employee name <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />HAZ MAT SJC OES <br />Number of Facilities for this Owner : 1 <br />2800 - ABOVEGROUND STORAGE TANK (AST) PROGRAM <br />PR0526710 <br />Owner ID <br />OW0010636 <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0532180 <br />Owner name <br />VAN RUITEN FAMILY WINERY <br />VAN RUITEN FAMILY WINERY <br />111 <br />Mailing address <br />2715 W KETTLEMAN LN 203-315 <br />340 W HWY 12 <br />113 <br />LODI, CA 95242 <br />LODI, CA 95242 <br />114, 115, 116 <br />Work phone <br />209-334-5722 <br />(209) 340-5303 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0013507 <br />Facility name <br />VAN RUITEN FAMILY WINERY <br />VAN RUITEN FAMILY WINERY <br />3 <br />Site address <br />340 W HWY 12 <br />340 W HWY 12 <br />103 <br />City <br />LODI <br />LODI <br />104 <br />ZIP code <br />95242 <br />95242 <br />105 <br />Facility phone <br />209-334-5722 <br />(209) 340-5303 <br />102 <br />Facility mailing address <br />2715 W KETTLEMAN LN 203-315 <br />340 W HWY 12 <br />108a <br />LODI, CA 95242 <br />LODI, CA 95242 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name VAN RUITEN FAMILY WINERY <br />Address 2715 W KETTLEMAN LN 203-315 <br />LODI, CA 95242 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Owner'.;', <br />Courtney Christy 140 <br />2715 W. Kettleman Ln., Ste. 203-315 143 <br />LODI, CA 95242 144, 145, 146 <br />(209) 340-5301 141 <br />courtney@vrwinery.com 142 <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. D[PI�II(P <br />Accounting: Reviewed by: L46 Date: � /f 0/ 1 � " 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 <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location <br />PR0520870 <br />JAMIE LIMA <br />Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PRO517573 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2800 - ABOVEGROUND STORAGE TANK (AST) PROGRAM <br />PR0526710 <br />FATINAH ZAREEF <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0532180 <br />not assigned <br />Inactive [ ] [ ] <br />