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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: 5/7/2014 10:26:23AM CERS ID: 10181641 <br /> Submitted by: miguel machado Email: escalonlivestockmarket@yahoo.cor Facility ID in CERS: FA0004501 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0003416 <br /> Owner name MACHADO, MIGUELA MACHADO, MIGUELA 111 <br /> Mailing address PO BOX 26 PO BOX 26 113 <br /> ESCALON, CA 95320 ESCALON, CA 95320 114, 115,116 <br /> Work phone 209-838-7011 (209)595-2014 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0004501 <br /> Facility name ESCALON LIVESTOCK MKT ESCALON LIVESTOCK MKT 3 <br /> Site address 25525 E LONE TREE RD 25525 E LONE TREE RD 103 <br /> City ESCALON ESCALON 104 <br /> Zip code 95320 95320 105 <br /> Facility phone 209-838-7011 (209)838-7011 <br /> 102 <br /> Facility mailing address 25525 E LONE TREE RD 25525 E LONE TREE RD 108a <br /> ESCALON, CA 95320 ESCALON, CA 95320 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name ESCALON LIVESTOCK MKT ESCALON LIVESTOCK MKT 140 <br /> Address 25525 E LONE TREE RD 25525 E LONE TREE RD 143 <br /> ESCALON, CA 95320 ESCALON, CA 95320 144. 145, 146 <br /> Contact phone Not Specified (209)838-7011 141 <br /> Contact email escalonlivestockmarket@yahoo.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ j 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: 17,111 <br /> Ll <br /> Accounting: Reviewed by:�Date: 0 Clerical: [ ] File [ j Relabel file [ ] Create new file <br /> [ ] <br /> AccpAred [ ] Surchar rI ied 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 /> 1920-HMBP-Common Materials PRO520209 MICHAEL PARISSI Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510275 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO535025 BENJAMIN ESCOTTO Inactive [ ] [ ] <br />