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SAN JOAQUIITtOUNTY ENVIRONMENTAL HEALTFMEPARTMENT y') �j <br /> Changes to EnvisionConnect by CERS Integration Wizard � (,%J� <br /> Date run: 7/14/2014 <br /> Submitted On: 2/2412014 10:56:07AM CERS ID: 10186201 <br /> Submitted by: Margaret Armstrong Email: margaret.armstrong@ejgallo.co Facility ID in CERS: FA0017338 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014179 <br /> Owner name COSTA FAMILY ESTATE Costa Family Estate 111 <br /> Mailing address 19909 E HWY 120 19909 E HWY 120 113 <br /> ESCALON, CA 95320 Escalon, CA 95320 114, 115, 116 <br /> Work phone 209-529-3004 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017338 <br /> Facility name COSTA FAMILY ESTATE COSTA FAMILY ESTATE 3 <br /> Site address 19401 S HAZELHURST 19401 S HAZELHURST 103 <br /> City ESCALON FSCALON 104 <br /> Zip code 95320 95320 105 <br /> Facility phone 209-838-2613 (209)529-3004 102 <br /> Facility mailing address 19909 E HWY 120 865 Claus Road 108a <br /> ESCALON, CA 95320 Modesto, CA 95357 108b, 108m,108d <br /> BILLING INFORMATION <br /> Contact name COSTA FAMILY ESTATE Costa Family Estate 140 <br /> Address_19909 F HWY 120 865 Claus Road 143 <br /> ESCALON, CA 95320 Modesto, CA 95357 144, 145, 146 <br /> Contact phone Not Specified 209-529-3004 141 <br /> Contact email - 142 <br /> Mail invoices to <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: <br /> Accounting: <br /> Accounting: Reviewed by: _ Date: j0 h 4 IL Clerical: [ ] File [ ] Relabelfile ] Create new file <br /> -[—}-Aset-b4lecl 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 PRO525523 not assigned Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0531077 WILLY NG Active, Exempt [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0533971 not assigned Inactive [ ] [ ] <br />