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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/29/2015 <br />Submitted on: 9/14/2015 12:27:45PM CERS ID: 10413040 <br />Submitted by: Ken Dobias Email: ken.dobias@questrmg.com Facility ID in CERS: FA0002222 <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 />OW0000531 <br />DOLGEN CALIFORNIA, LLC <br />100 MISSION RIDGE <br />GOODLETTSVILLE, TN 37072 <br />615-855-4638 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002222 <br />Facility name <br />Dollar General #13593 <br />Site address <br />4232 E Main St <br />City <br />Stockton <br />ZIP code <br />95215 <br />Facility phone <br />209-800-8822 <br />Information after CIW processing CERS <br />(current submittal) field <br />DOLGEN CALIFORNIA, LLC 111 <br />100 MISSION RIDGE 113 <br />GOODLETTSVILLE, TN 37072 114, 115, 116 <br />6158554638 112 <br />Dollar General #13593 3 <br />4232 E Main St 103 <br />Stockton 104 <br />95215 105 <br />(209) 800-8822 102 <br />Facility mailing address <br />100 MISSION RIDGE <br />100 MISSION RIDGE <br />108a <br />1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />GOODLETTSVILLE, TN 37072 <br />GOODLETTSVILLE, TN 37072 <br />108b, 1o8c, 1o8d <br />BILLING INFORMATION <br />PR0537166 <br />LEYNA HUYNH <br />Active <br />Contact name <br />ERIC VOYLES <br />ERIC VOYLES <br />140 <br />Address <br />100 MISSION RIDGE <br />100 MISSION RIDGE <br />143 <br />3116 - STORMWATER INSPECTION - FOOD <br />GOODLETTSVILLE, TN 37072 <br />GOODLETTSVILLE, TN 37072 <br />144, 145, 146 <br />Contact phone <br />615-855-4024 <br />615-855-4024 <br />141 <br />Contact email <br />WMANAGEM@DOLLARGENERAL.COM <br />WMANAGEM@DOLLARGENERAL.COM <br />142 <br />Mail invoices to <br />Account <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 �ote cal nrye r [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: SMV Date: <br />------------------------------------------------ <br />Accounting: Reviewed by: � 6 Date: q �2JO 1 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 />Program Element and Description <br />Record ID <br />Employee name <br />Status <br />1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />PRO161585 <br />LEYNA HUYNH <br />Active <br />1698 - SPECIAL EVENT <br />PR0537166 <br />LEYNA HUYNH <br />Active <br />2220 - SM HW GEN <5 TONS/YR <br />PRO537835 <br />STACY RIVERA <br />Active <br />1921 - HMBP-Regular-Primary Location <br />PR0539167 <br />HAZA SAEED <br />Inactive <br />3116 - STORMWATER INSPECTION - FOOD <br />PR0522926 <br />VIDAL PEDRAZA <br />Inactive <br />&J" Pit Ak_� . <br />Reactivated Inactivated <br />[l <br />