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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS integration Wizard Date run: 12/22/2016 <br /> Submitted on: 12/16/2016 1:22:05PM CERS ID: 10185953 <br /> Submitted by: Patrick Costa Email: pjcostainc@aol.com Facility ID in CERS: FA0017137 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION Number of Facilities for this Owner : 1 <br /> Owner ID OW0013978 <br /> Owner name COSTA& COSTA FARMS INC COSTA& COSTA FARMS INC 113 <br /> Mailing address 4484 W TREDWAY RD 4484 W TREDWAY RD <br /> LODI, CA 95242 LODI, CA 95242 114, 115. 116 <br /> Work phone 209-321-1217 (209)321-1217 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017137 <br /> Facility name COSTA& COSTA FARMS INC COSTA& COSTA FARMS INC 3 <br /> Site address 11789 N THORNTON RD 11789 N THORNTON RD 103 <br /> City LODI LODI 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-366-1440 (209)366-1440 102 <br /> Facility mailing address 4484 W TREDWAY RD 4484 W TREDWAY RD 108a <br /> LODI, CA 95242 LODI, CA 95242 108b,108c, 108d <br /> BILLING INFORMATION <br /> Contact name COSTA& COSTA FARMS INC COSTA& COSTA FARMS INC 140 <br /> Address 4484 W TREDWAY RD 4484 W TREDWAY RD 143 <br /> LODI, CA 95242 LODI, CA 95242 144, 145 146 <br /> Contact phone 209-321-1217 (209)321-1217 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ) HMBP [ ] SQG HW [ ] LOG 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: —LU M Date: a- ')�2 1(0 <br /> Accounting: Reviewed by: [, _Date: l� Irl j Clerical: [ ] File [ J Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations 1 chem unois PRO525322 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONS/YR PRO529155 ARIS VELOSO Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO529154 ARIS VELOSO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534315 not assigned Inactive [ ] [ ] <br />