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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 2/17/2017 <br />Submitted on: 2/17/2017 8:50:22AM CERS ID: 10668850 <br />Submitted by: Matt Morgan Email: mmorgan@cityofescalon.org Facility ID in CERS: FA0023808 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 1 <br />OW0022177 <br />City Of Escalon <br />2060 Mc Henry Ave. <br />Escalon, CA 95320 <br />209-691-7470 <br />FACILITY FILE INFORMATION <br />Information after CIW processing <br />(current submittal) <br />City Of Escalon <br />2060 Mc Henry Ave. <br />Escalon, CA 95320 <br />209-691-7470 <br />Facility ID FA0023808 <br />Facility name CITY OF ESCALON POLICE DEPARTMEN* City of Escalon City Hall <br />Site address 2060 McHenry Ave 2060 McHenry Ave <br />City Escalon Escalon <br />ZIP code 95320 95320 <br />Facility phone 209-691-7400 209-691-7400 <br />Facility mailing address 2060 Mc HenryAve. <br />Escalon, CA 95320 <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />City of Escalon <br />2060 Mc Henry Ave. <br />Escalon, CA 95320 <br />209-691-7400 <br />Account <br />2060 Mc Henry Ave. <br />Escalon, CA 95320 <br />City of Escalon <br />2060 Mc Henry Ave. <br />Escalon, CA 95320 <br />209-691-7400 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: I Date: <br />Accounting: Reviewed by: L6 Dater Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactioted <br />1920 - HMBP-Common Materials 1 chem units PR0541528 NICHOLAS LOEHRER Active [ ] <br />L fiNAAM LNC S '��� S i i -C— w Sti• nj M ` ` ; �c D <br />