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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/1812016 <br /> Submitted on: 3/512016 9:02:27PM CERS ID: 10186237 <br /> Submitted by: Lealon Brumley Email: plb79@aol.com Facility ID in CERS: FA0017300 <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: 1 <br /> Owner ID OW0014141 <br /> Owner name BRUMLEY& SONS BRUMLEY& SONS 111 <br /> Mailing address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 113 <br /> ESCALON, CA 95320 ESCALON, CA 95320 114, 115, 116 <br /> Work phone (209) 838-2135 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017300 <br /> Facility name BRUMLEY & SONS BRUMLEY& SONS 3 <br /> Site address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 103 <br /> City ESCALON ESCALON 104 <br /> ZIP code 96320 95320 105 <br /> Facility phone 209-838-2135 (209) 838-2135 102 <br /> Facility mailing address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 108a <br /> ESCALON, CA 95320 ESCALON, CA 95320 108e, t08c,toad <br /> BILLING INFORMATION <br /> Contact name BRUMLEY& SONS LEALON BRUMLEY 140 <br /> Address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 143 <br /> ESCALON, CA 95320 ESCALON, CA 95320 144, 145, 146 <br /> Contact phone Not Specified (209) 838-2135 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SOG HW [ ] LQG HW [ ] RCRA HW New PR#: 4 R:o s q 1 O 5 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 27_ <br /> Assigned to: YWAN2D <br /> Please bill: [ ] full calendar year [ ] prorate`this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: C1_19 <br /> ) <br /> Accounting: Reviewed by: — Date: 6�a'S,114e Clerical: [ ] File [ ] Relabel file [ ] Create new filev <br /> )�jcct -� <br /> billed [ ] Sbu�uer-i#iecl kr (. 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 /> 958-HM-Farm Operations PR0525485 MUNIAPPA NAIaU Active [ ] <br /> 'x'2830-AST FAC -SPCC EXEMPT PR0530242 ELENA MANZO Inactive <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532462 not assigned Inactive [ ] <br />