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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/26/2016 <br /> Submitted on: 1/25/2016 9:48:18AM CERS ID: 10186685 <br /> Submitted by: Eric Pichardo Email: eric.pichardo@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 /> Number of Facilities for this Owner: 2 <br /> Owner ID OW0014607 <br /> Owner name WEST COAST GRAPE FARMING INC WEST COAST GRAPE FARMING INC 111 <br /> Mailing address P.O. BOX 488 P.O. BOX 488 113 <br /> CERES, CA 95307 CERES, CA 95307 114, 115, 116 <br /> Work phone 209-272-3000 209-272-3000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017792 <br /> Facility name WEST COAST GRAPE FARMERS Forest Lake Ranch 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 209-272-3000 (209)272-3000 102 <br /> Facility mailing address P.O. BOX 488 P.O. BOX 488 108a <br /> CERES, CA 95307 CERES, CA 95307 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name FRANK CANELA FRANK CANELA 140 <br /> Address P.O. BOX 488 P.O. BOX 488 143 <br /> CERES, CA 95307 CERES, CA 95307 144, 145, 146 <br /> Contact phone 209-272-3035 209-272-3035 141 <br /> Contact email frank.canela@broncowine.com frank.canela@broncowine.com 142 <br /> Mail invoices to Account <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 calendaryear [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �V) Date: <br /> -------------------------- <br /> Accounting: Reviewed by: Date: [ al 1(.t Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> -------------------------------------------------- <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 PR0540088 MUNIAPPA NAIDU Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0528538 ARIS VELOSO Active [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0526952 ARIS VELOSO Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT' PR0526280 JENNIFER FRASE Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531415 not assigned Inactive ( ] [ ] <br />