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SAN JOAQUIN"COUNTY ENVIRONMENTAL HEALTH VEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/25/2014 <br /> Submitted on: 2/12/2014 2:23:59PM CERS ID: 10182143 <br /> Submitted by: Matt Morgan Email: mmorgan@cityofescalon.org Facility ID in CERS: FA0006789 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0005573 <br /> Owner name MANTECA, RIPON, ESCALON JUD CT City of Escalon 111 <br /> Mailing address 1855 COLEY 2060 Mc Henry Ave. 113 <br /> ESCALON, CA 05320 ESCALON, CA 95320 114,115, 116 <br /> Work phone (209)691-7400 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0006789 <br /> Facility name CITY OF ESCALON POLICE DEPT CITY OF ESCALON POLICE DEPT 3 <br /> Site address 1855 E COLEY AVE 1855 E COLEY AVE 103 <br /> City ESCALON ESCALON 104 <br /> Zip code 95320 95320 105 <br /> Facility phone 209-838-7093 (209) 691-7400 102 <br /> Facility mailing address 1855 COLEY 2060 McHenry Ave. 108a <br /> 1 <br /> ESCALON, CA 05320 ESCALON, CA 95320 108b,108c,108d <br /> BILLING INFORMATION AfX009-J6_Z0 <br /> Contact name CITY OF ESCALON POLICE DEPT City of Escalon 140 <br /> Address 1855 COLEY 2060 Mc Henry Ave. 143 <br /> ESCALON, CA 05320 ESCALON, CA 95320 144,145, 146 <br /> Contact phone 209-838-7093 (209)691-7470 141 <br /> Contact email 142 <br /> Mail invoices to Facility <br /> Program record 17MMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: 390`7 , <br /> created ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: t--/ ZZ <br /> PIS <br /> /// Assigned to: I v12� i <br /> If <br /> Please bill: [I full calendar year [ ] prorate thiscalendaryear [ ] next calendar year [ ] exempt from billing <br /> Processed throughCERS Integration Wizard by: f V I Date: 2 <br /> Accounting: Reviewed by: Date: 7 3j Clerical: [ File [ ] Relabel file [ Create new file <br /> [[,]Acct billed By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1471 -TYPE I-TEMP HOLDING(</=24 HRS) PR0505463 NICHOLAS WIESEMAN Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PR0528843 MUNIAPPA NAIDU Active, Exempt [ ] ( ] <br /> VI`s"' <br />