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1:7 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 312412015 <br /> Submitted on: 1114/2015 11:06:12AM CERS ID: 10186209 <br /> Submitted by: vonne Lucchetti Email: yvonnelu@verizon.net Facility ID in CERS: FA0017284 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014125 <br /> Owner name VERNON LUCCHETTI RANCH Ferrari Brothers Properties, LLC 111 <br /> Mailing address 17170 E FRONT ST 5960 Archerdale Rd 113 <br /> LINDEN, CA 95236 Linden, CA 95236 114, 115, 116 <br /> Work phone 209-887-3769 2098873769 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017284 <br /> Facility name VERNON LUCCHETTI RANCH VERNON LUCCHETTI RANCH 3 <br /> Site address 0 FLOOD EAST OF FINE RDS 0 FLOOD EAST OF FINE RDS 103 <br /> City LINDEN LINDEN 104 <br /> ZIP code 95236 95236 105 <br /> Facility phone 209-887-3769 (209) 887-3036 102 <br /> Facility mailing address 17170 E FRONT ST 17170 E FRONT ST 108a <br /> LINDEN, CA 95236 LINDEN, CA 95236 108t5,108c,108d <br /> BILLING INFORMATION <br /> Contact name VERNON LUCCHETTI RANCH f Ferrari Brothers Properties, LLC 140 <br /> Address 17170 E FRONT ST ✓/ 596€1 Archerdale Rd 143 <br /> LINDEN, CA 95236 LINDEN, CA 95236 144, 145, 146 <br /> Contact phone 209-887-3769 2098873769 141 <br /> Contact emailyvonnelu@verizon.net 142 <br /> Mail invoices to <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: ELr �S <br /> Accounting: Reviewed by: lot- Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verif ed 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 PRO525469 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2221 -USED OIL ONLY-<5 TONSNR PRO538553 JEFFREY WONG Active <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO531022 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534513 not assigned Inactive [ ] [ ] <br />