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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 2/1912014 9:42:15AM CERS ID: 10181271 <br /> Submitted by: Richard Adams Email: QUE11254@aol.com Facility ID in CERS: FA0003662 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002732 <br /> Owner name A&W FARMS A&W FARMS 111 <br /> Mailing address 12965 S MANTHEY RD 12965 S MANTHEY RD 113 <br /> LATHROP, CA 95330 LATHROP, CA 95330 114, 115, 116 <br /> Work phone (209) 993-6869 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003662 <br /> Facility name A&W FARMS A&W FARMS 3 <br /> Site address 12965 S MANTHEY RD 12965 S MANTHEY RD 103 <br /> City LATHROP LATHROP 104 <br /> Zip code 95330 95330 105 <br /> Facility phone 209-982-1517 (209) 982-1517 102 <br /> Facility mailing address 12965 S MANTHEY RD 12965 S MANTHEY RD 108a <br /> LATHROP, CA 95330 LATHROP, CA 95330 108b, 10ac,1a8d <br /> BILLING INFORMATION <br /> Contact name A&W FARMS A&W FARMS 140 <br /> Address 12965 S MANTHEY RD 12965 S MANTHEY RD 143 <br /> LATHROP, CA 95330 LATHROP, CA 95330 144, 145, 146 <br /> Contact phone Not Specified 209-993-6869 141 <br /> Contact email 142 <br /> Mail invoices to Facility✓ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: Date: I <br /> Accounting: Reviewed by: Date: h�� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> ————— [ ] Acc ar e <br /> led [ � Surchrified 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 rJ PR0525925 not assigned Active [ ] [ ] <br /> 2220-SM HW GEN E5 TONSIYR PR0530650 THUY TRAN Active [ ] [ ] <br /> 2332-EXEMPT TANK FACILITY PR0234092 THUY TRAN Active, Exempt [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507383 STEVE SASSON Inactive [ ] [ ] <br /> 2830-AST FAC -SPCC EXEMPT PR0530649 THUY TRAN Active, Exempt [ ] [ ] <br />