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SAN JOAQUMCOUNTY ENVIRONMENTAL HEAL TMEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 718/2014 <br /> Submitted on: 2/28/2014 2:52:27PM CERS ID: 14403182 <br /> Submitted by: Ezekiel Robles Email: ezekiel.robles@psiusa.com Facility ID in CERS: FA0021532 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017706 <br /> Owner name J C PENNEY Corp. JC Penney Corp. 111 <br /> Mailing address 6501 LEGACY DR 6501 Legacy Drive 113 <br /> PLANO, TX 75024 Plano, TX 75024 114, 115, 116 <br /> Work phone 972-431-1000 9724311000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021532 <br /> Facility name JCPENNEY CORP INC STORE #1156 JC PENNEY#1156 3 <br /> Site address 4915 CLAREMONT AVE 4915 Claremont Ave 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95207 95207 105 <br /> Facility phone 209-951-1110 209951 1110 102 <br /> Facility mailing address PO BOX 45057 4703 Tidewater Avenue, Suite B 108a <br /> SALT LAKE CITY, UT 84145 Oakland, CA 94601 108b, 108c,108d <br /> BILLING INFORMATION k"0-3902 <br /> Contact name JCPFNNFY CORP INC STORF#1156 PSI 140 <br /> Address PO BOX 45057 4703 Tidewater Avenue, Suite B 143 <br /> SALT LAKE CITY, UT 84145 Oakland, CA 94601 144, 145, 146 <br /> Contact phone Not Specified 5104349200 141 <br /> Contact email eze'kiel.robles@psiusa.com 142 <br /> Mail invoices to Facility <br /> Program record [JfiHMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 1 9' f <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: t s t <br /> Accounting: Rev ewed by:v11b Date: / ) 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 Record ID Employee name Status Reactivated Inactivated <br /> 1620-RETAIL MKT 26-300 SO FT(INCIDENTAL FOODS) PR0537440 MARIBEL FLOHRSCHLITZ Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONS/YR PRO537465 Fatma Zareef Active [ ] [ ] <br /> via 1� <br />