Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/24/201 <br />Submitted on: 12/24/2015 9:49:38AM <br />Submitted by: Kirsten Scalese Email: kscalese@3ecompany.com <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 : 14 <br />OW0001014 <br />Walgreen Co. <br />200 Wilmot Road <br />Deerfield, IL 60015 <br />847-914-2264 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0018513 <br />Facility name <br />WALGREENS #10454 <br />Site address <br />1071 N MAIN ST <br />City <br />MANTECA <br />ZIP code <br />95336-3744 <br />Facility phone <br />209-825-5481 <br />CERS ID: 10186883 <br />Facility ID in CERS: FA0018513 <br />Information after CIW processing CERS <br />(current submittal) field <br />Walgreen Co. 111 <br />200 Wilmot Road 113 <br />Deerfield, IL 60015 114, 115, 116 <br />(847) 914-2264 112 <br />WALGREENS #10454 <br />3 <br />1071 N MAIN ST <br />103 <br />MANTECA <br />104 <br />95336-3744 <br />105 <br />(209) 825-5481 <br />102 <br />Facility mailing address 3E Company, Reg. Dept. / Walgreen Co., 32 3E Company, Reg.Dept. / Walgreen Co., 3 108a <br />Carlsbad, CA 92010 Carlsbad, CA 92010 108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />3E Company, Regulatory Dept/Walgreen Cc <br />3E Company, Regulatory Dept/Walgreen Cc <br />140 <br />Address <br />3207 GREY HAWK CT, STE 200 <br />3207 Grey Hawk Court, Suite 200 <br />143 <br />Carlsbad, CA 92010 <br />Carlsbad, CA 92010 <br />144, 145, 146 <br />Contact phone <br />760-602-8700 <br />(760) 602-8700 <br />141 <br />Contact email <br />regulatory@3ecompany.com <br />regulatory@3ecompany.com <br />142 <br />Mail invoices to <br />Account <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: uA Date: I " \ `- <br />--------------------------- <br />Accounting: Reviewed by: L41 Date: I L�Z� I Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />-------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Proqram Element and Description Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PRO538631 NICHOLAS LOEHRER Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0535517 MICHELLE HENRY Active [ ] [ ] <br />4557 - MED WASTE LIMITED HAULER PR0536055 ROBERT MCCLELLON Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0536003 not assigned Inactive [ ] [ ] <br />