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SAN JOAQUIN _JUNTY ENVIRONMENTAL HEALTH UL. -ARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/18/2016 <br /> Submitted on: 3/5/2016 9:02:27PM CERS ID: 10186237 <br /> Submitted by: Lealon Brumley Email: plb79@aol.com Facility ID in CERS: FA0017300 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner : 1 <br /> Owner ID OW0014141 <br /> Owner name BRUMLEY& SONS BRUMLEY& SONS 111 <br /> Mailing address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 113 <br /> ESCALON, CA 95320 ESCALON, CA 95320 114, 115, 116 <br /> Work phone (209) 838-2135 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0017300 <br /> Facility name BRUMLEY & SONS BRUMLEY& SONS 3 <br /> Site address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 103 <br /> City ESCALON ESCALON 104 <br /> ZIP code 95320 95320 105 <br /> Facility phone 209-838-2135 (209) 838-2135 102 <br /> Facility mailing address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 108a <br /> ESCALON, CA 95320 ESCALON, CA 95320 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name BRUMLEY & SONS LEALON BRUMLEY 140 <br /> Address 13381 S ESCALON BELLOTA RD 13381 S ESCALON BELLOTA RD 143 <br /> ESCALON, CA 95320 ESCALON, CA 95320 144, 145, 146 <br /> Contact phone Not Specified (209) 838-2135 141 <br /> Contact email 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: Vo S H t 0 0 7 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: I-?-q_0 <br /> Assigned to: YW�� J2-D <br /> Please bill: [ ] full calendar year [ ] prorate,this, ,calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: l g 1 b <br /> --------------- <br /> Accounting: Reviewed by: Date: �Z3 1(✓ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [",,�Acct billed [ ] Su -.� <br /> rge-v&44ed � �A ( 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 PR0525485 MUNIAPPA NAIDU Active I I [ 1 <br /> 2830-AST FAC -SPCC EXEMPT PRO530242 ELENA MANZO Inactive :41 � <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532462 not assigned Inactive I I <br /> q <br />