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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DUSTIN
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20051
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1900 - Hazardous Materials Program
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PR0525677
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BILLING
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Entry Properties
Last modified
10/29/2020 10:36:30 PM
Creation date
6/9/2018 1:50:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0525677
PE
1958
FACILITY_ID
FA0017492
FACILITY_NAME
ELSIE MEDEIROS
STREET_NUMBER
20051
Direction
N
STREET_NAME
DUSTIN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01714054
CURRENT_STATUS
Active, billable
SITE_LOCATION
20051 N DUSTIN RD
P_LOCATION
(none)
Supplemental fields
FilePath
\MIGRATIONS\D\DUSTIN\20051\PR0525677\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/10/2017 11:37:10 PM
QuestysRecordID
3674726
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIrrCOUNTY ENVIRONMENTAL HEALTh-riEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 3/26/2015 <br /> Submitted on: 216!2015 4:39:03PM CERS IO: 10186529 <br /> Submitted by: mary medeiros-collier Email: maryontheranch@gmail.com F=acility ID in CERS: FA0017492 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014333 <br /> Owner name ELSIE MEDEIROS ELSIE MEDEIROS 111 <br /> Mailing address 20051 N DUSTIN RD 20051 N DUSTIN RQ 113 <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 114, 115, 116 <br /> Work phone 209-334-4092 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017492 <br /> Facility name 'ELSIE MEDEIROS ELSIE MEDEIROS 3 <br /> Site address 20051 N DUSTIN RD 20051 N DUSTIN RD 103 <br /> City ACAMPO ACAMPO 104 <br /> ZIP code 95220 95220 105 <br /> Facility phone 209-334-4092 (209) 334-4092 0 102 <br /> Facility mailing address 20051 N DUSTIN RD 20051 N DUSTIN RD 108a <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 108b, 108c,1084 <br /> BILLING INFORMATION <br /> Contact name ELSIE MEDEIROS ELSIE MEDEIROS 140 <br /> Address 20051 N DUSTIN RD 20051 N DUSTIN RQ 143 <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 144, 14 146 <br /> Contact phone Not Specified 209-334-4092 1411 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG HW [ ] LOC 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: y Date: ��('- <br /> Accounting: Reviewed by: Date: 31yu'II Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: f <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Em to ee name Status Reactivated Inactivated <br /> 1958-HM-Farm Operations PRO525677 JAMIE DE LA ROSA Active [ 1 1 <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0530460 WILLY NG Inactive [ ] [ l <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531608 not assigned Inactive [ ] F <br />
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