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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELLIOTT
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21001
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2200 - Hazardous Waste Program
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PR0539972
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BILLING
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Entry Properties
Last modified
12/5/2018 10:45:14 AM
Creation date
10/31/2018 4:01:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0539972
PE
2220
FACILITY_ID
FA0010533
FACILITY_NAME
LOCKEFORD PLANT MATERIAL CNTR
STREET_NUMBER
21001
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
APN
05121038
CURRENT_STATUS
01
SITE_LOCATION
21001 N ELLIOTT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ELLIOTT\21001\PR0539972\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/1/2017 11:39:42 PM
QuestysRecordID
3543163
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN j-0AQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> _ Date run: 418f2015 <br /> Submitte on: 3117!2015 9:56:47AM CERS ID: 10183627 <br /> Submitted ' : sh n riu mail: shawn.vue@ca.usda.gov Facility ID in CERS: FA0010533 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008533 <br /> Owner name USDA USDA 111 <br /> Mailing address PO BOX 68 PO BOX 68 113 <br /> LOCKEFORD, CA 95237 LOCKEFORD, CA 95237 114, 115, 116 <br /> Work phone 209-727-5319 209 727-5319 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010533 <br /> Facility name LOCKEFORD PLANT MATERIAL CNTR LOCKEFORD PLANT MATERIAL CNTR 3 <br /> Site address 21001 N ELLIOTT RD 21001 N ELLIOTT RD 103 <br /> City LOCKFFORD LOCKEFORD 104 <br /> ZIP code 95237 95237 105 <br /> Facility phone 209-727-3205 (209) 727-3205 0 102 <br /> Facility mailing address PO BOX 68 PO BOX 68 108a <br /> LOCKEFORD, CA 95237 LOCKEFORD, CA 95237 108b, 108c, 10sd <br /> BILLING INFORMATION <br /> Contact name US DEPT OF AGRICULTURE US DEPT OF AGRICULTURE 140 <br /> Address PO BOX 68 PO BOX 68 143 <br /> LOCKEFORD, CA 95237 LOCKEFORD, CA 95237 144, 145, 146 <br /> Contact phone Not Specified 209 727-5319 141 <br /> Contact email 142 <br /> Mail invoices to Owner Pr <br /> Program record [ ] HMBP ,] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: I �q� `a <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: �Z'Z-tom <br /> Assigned to: �w5v <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: _ 4t' Date: �I�ar'15� _ Clerical: 'KFile [ ] Relabel file �1 Create new file <br /> [ ]. Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0520404 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2332-EXEMPT TANK FACILITY PR0504060 ARIS VELOSO Active, Exempt [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510533 HAZ MAT SJC OES Inactive ] ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531512 not assigned Inactive ] ] [ ] <br />
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