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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/26/2014 <br /> Submitted on: 12/18/2014 10:25:50AM CERS ID: 10186305 <br /> Submitted by: martin Schuler Email: snorkelbch@aol.com Facility ID in CERS: FA0017348 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0014189 <br /> Owner name MARTIN SCHULER MARTIN SCHULER 111 <br /> Mailing address PO BOX 487 PO BOX 487 113 <br /> ESCALON, CA 95320 ESCALON, CA 95320 114, Its, 11E <br /> Work phone 2099686980 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017348 <br /> Facility name MARTIN SCHULER MARTIN SCHULER 3 <br /> Site address 23594 E HWY 120 23594 E HWY 120 103 <br /> City ESCALON 104 <br /> ZIP code 95320 95320 105 <br /> Facility phone 209-838-2622 (209) 838-2622 0 <br /> 102 <br /> Facility mailing address PO BOX 487 ESCALON PO BOX 487 108a <br /> ESCALON, CA 95320 ESCALON, CA 95320 108b,108c,IDE <br /> BILLING INFORMATION <br /> Contact name MARTIN SCHULER MARTIN SCHULER 140 <br /> Address PO BOX 487 PO BOX 487 143 <br /> ESCALON, CA 95320 ESCALON, CA 95320 144, 145, 14c <br /> Contact phone Not Specified 2099686980 141 <br /> Contact email 142 <br /> Mail invoices to Gwner {) <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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 calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: /1/ T Date: z I z 6/11 <br /> Accounting: Reviewed by: (/Ig Date: ' 011 `/ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verifiedg <br /> _ y: 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 PRO525533 MICHAEL PARISSI Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO536698 HARPRIT MATTU Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0529609 WILLY NG Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531527 not assigned Inactive [ ] [ ] <br />