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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 11/28/201E <br />Submitted on: 11/17/2016 9:44:36AM CERS, ID: 10186239 <br />Submitted by: steve arnold Email: arnie@fire2wire.com Facility ID in CERS: FA0017301 <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 />OW0014142 <br />STEVE ARNOLD <br />22967 WILLIAMS RD <br />ESCALON, CA 95320 <br />209-471-1940 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0017301 <br />Facility name <br />STEVE ARNOLD <br />Site address <br />20582 S SEXTON RD <br />City <br />ESCALON <br />ZIP code <br />95320 <br />Facility phone <br />209-838-2618 <br />Facility mailing address <br />PO BOX 481 <br />not assigned <br />ESCALON, CA 95320 <br />BILLING INFORMATION <br />Contact name <br />STEVE ARNOLD <br />Address <br />PO BOX 481 <br />ESCALON, CA 95320 <br />Contact phone <br />209-471-1940 <br />Contact email <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />STEVE ARNOLD 111 <br />22967 WILLIAMS RD 113 <br />ESCALON, CA 95320 114, 115, 116 <br />209 4711940 112 <br />STEVE ARNOLD 3 <br />20582 S SEXTON RD 103 <br />ESCALON 104 <br />95320 105 <br />(209) 838-2618 0 102 <br />22967 WILLIAMS RD 108a <br />ESCALON, CA 95320 108b, 108c, 108d <br />STEVE ARNOLD 140 <br />20582 S SEXTON RD 143 <br />ESCALON, CA 95320 144, 145, 146 <br />209 471 1940 141 <br />142 <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 />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: I/�550t� <br />Accounting: Reviewed by: Date: // 13011 (o Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1958 - HM -Farm Operations <br />PR0525486 <br />MUNIAPPA NAIDU <br />Active [ ] [ ] <br />2840 - AST EXEMPT FAC < 1,320 GAL <br />PRO530248 <br />WILLY NG <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0533590 <br />not assigned <br />Inactive [ ] [ I <br />