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SAN JOAQUIkw-t;OUNTY ENVIRONMENTAL HEALThrlf�EPARTMENT / <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/17/2014 <br /> Submitted on: 2/13/2014 9:00:09AM CERS ID: 10186639 <br /> Submitted by Bruce Fry Email: brucefry@mohrfry.corn Facility ID in CFRS FA0017562 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) � (c-u�re�nt submittal) field <br /> Owner ID OW0014403 do;;, <br /> Owner name )(MOHR-FRY RANCHFS �,MOHR ENTERPRISES LLP i 11 <br /> Mailing address 12609 N WEST LN 12609 N WEST LN 113 <br /> LOD], CA 95240 LODI, CA 95240 114, 115, 116 <br /> Work phone 2093343808 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017562 <br /> Facility name �MOHR-FRY RANCHES RANCH 40 3 <br /> Site address 12609 N WEST LN 12609 N WEST LN 103 <br /> City LODI LODI 104. <br /> Zip code 95240 95240 105 <br /> Facility phone 209-334-3808 (209) 334-3808 102 <br /> Facility mailing address 12609 N WEST LN 12609 N WEST LN 108a <br /> LODI, CA 95240 LODI, CA 95240 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name MOHR-FRY RANCHES MOHR-FRY RANCHES 140 <br /> Address 12609 N WEST LN 12609 N WEST LN 143_ <br /> LODI, CA 95240 LODI, CA 95240 144, 145. 146 <br /> Contact phone Not Specified 2093343808 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 [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ j exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by'. �Date:' Clerical: {] File [ Relabel file [ ] Create new file <br /> [ ] Acc � ed [ ] Surchar—— ifi d — 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 PRO525747 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONS/YR PR0530582 ARIS VFLOSO Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0530581 ARIS VELOSO Active, Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO531849 not assigned Inactive [ ] [ ] <br />