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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2!312015 <br /> Submitted on: 1/15/2015 9:57:53AM CERS ID: 10186685 <br /> Submitted by: juan Calderon Email: juan.calderon@broncowine.com Facility ID in CERS: FA0017792 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014607 <br /> Owner name FRANZIA, BRIAN West Coast Grape Farming Inc, 111 <br /> Mailing address PO BOX 488 6342 Bystrum Rd 113 <br /> CERES, CA 95307 CERES, CA 95307 114, 115, 116 <br /> Work phone 209-272-3000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017792 <br /> Facility name WEST COAST GRAPE FARMERS WEST COAST GRAPE FARMERS 3 <br /> Site address 1020 W FOREST LAKE RD 1020 W FOREST LAKE RD 103 <br /> City ACAMPO ACAMPO 104 <br /> ZIP code 95220 95220 105 <br /> Facility phone 209-538-1794 (209)272-3000 102 <br /> Facility mailing address PO BOX 488 6342 Bystrum Rd 108a <br /> CERES, CA 95307 CERES, CA 95307 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name WEST COAST GRAPE FARMERS Frank Canela 140 <br /> Address PO BOX 488 6342 Bystrum Rd 143 <br /> CERES, CA 95307 CERES, CA 95307 144, 145, 146 <br /> Contact phone 209-993-9201 209-272-3035 141 <br /> Contact email frank.canela@broncowine.com 142 <br /> Mail invoices to ilitp - L <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] LIST New PE: <br /> Assigned to: <br /> Please bill: [ I full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: W"� Date: °3 <br /> Accounting: Reviewed by: Date: D l Clerical: [ f 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 Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONS/YR PRO528538 ARIS VELOSO Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PRO526952 ARIS VELOSO Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO526280 JENNIFER PRASE Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531415 not assigned Inactive [ ] 11 <br />