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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12117/2014 <br /> Submitted on: 12/1612014 2:04:42PM CERS ID: 10186923 <br /> Submitted by: Raymond Lial Email: raymondlial@yahoo.com Facility ID in CERS: FA0018643 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0015320 <br /> Owner name RAYMOND LIAL RAYMOND LIAL 111 <br /> Mailing address 19105 S VAN ALLEN 19105 S VAN ALLEN 113 <br /> ESCALON, CA 95320 ESCALON, CA 95320 114, 115, 11E <br /> Work phone (209) 838-2108 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018643 <br /> Facility name RAYMOND LIAL RAYMOND LIAL 3 <br /> Site address 19105 S VAN ALLEN 19105 S VAN ALLEN 103 <br /> City ESCALON 104 <br /> ZIP code 95320 95320 105 <br /> Facility phone 209-838-2108 (209) 838-2108 <br /> 102 <br /> Facility mailing address 19105 S VAN ALLEN ESCALON 19105 S VAN ALLEN 108a <br /> ESCALON, CA 95320 ESCALON, CA 95320 108b,108c.10E <br /> BILLING INFORMATION <br /> Contact name RAYMOND LIAL RAYMOND LIAL 140 <br /> Address 19105 S VAN ALLEN 19105 S VAN ALLEN 143 <br /> ESCALON, CA 95320 ESCALON, CA 95320 144, 145, 14E <br /> Contact phone Not Specified (209) 838-2108 141 <br /> Contact email 142 <br /> Mail invoices to Gomer <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 calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: NJ Date: a (I`7 1 I y <br /> Accounting: Reviewed by: Date:�� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> '[ ] Acc d [ ] Surchar ed 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 PRO527512 MICHAEL PARISSI Active [ ] ( ] <br /> 2221 -USED OIL ONLY-<5 TONS/YR PRO538570 ELENA MANZO Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0534677 not assigned Inactive ( ] [ <br />