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SAN JOAQUWOUNTY ENVIRONMENTAL HEALTIRTEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 8f1412014 <br /> Submitted on: 8130/2013 1:43:19PM CERS ID: 10454887 <br /> Submitted by: Crystalyn Alford Email: calford@3ecompany.com Facility ID in CERS: FA0021446 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017599 <br /> Owner name Walgreen Co. Walgreen Co. 111 <br /> Mailing address 200 Wilmot Road 200 Wilmot Road 113 <br /> Deerfield, IL 60015 Deerfield, IL 60015 114, 115, 116 <br /> Work phone 847-914-2264 (847) 914-2264 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0021446 <br /> Facility name WALGREENS#12549 Walgreens#12549 3 <br /> Site address 2040 E MARIPOSA RD 2040 E Mariposa Rd 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95205 95205 105 <br /> Facility phone 847-527-4439 (209) 465-4167 102 <br /> Facility mailing address 3207 GREY HAWK CT STE 200 3E Company, Regulatory DeptfWalgreen, 3, 1082 <br /> CARLSBAD, CA 92010 Carlsbad, CA 92010 108b,108c, 10ad <br /> BILLING INFORMATION <br /> Contact name WALGREENS#12549 3E Company, Regulatory Dept/Walgreens 140 <br /> Address 3207 GREY HAWK CT STE 200 3207 Grey Hawk Court, Suite 200 143 <br /> CARLSBAD, CA 92010 Carlsbad, CA 92010 144, 145, 146 <br /> Contact phone Not Specified (760) 602-8700 141 <br /> Contact email regulatory@3ecompany.com 142 <br /> Mail invoices to Facility <br /> Program record HMBP [ ] SOG HW [ ] LOG HW [ ] RCRA HW New PR#: -2.,C6 -2,— <br /> created <br /> 2fcreated [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: L 09C-7— <br /> Please bill: % J full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: t`� Date: b cy` )%-A t <br /> --- -- _. _ - - -- ---- -- - — - ----- / 1----------- <br /> Accounting: Reviewed by: Date: 17 Clerical: File [ ] Relabel file Create new file <br /> Acct billed fred B <br /> .�}-Strre#ar�e-aeri � y: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONS/YR PR0538446 MICHELLE HENRY Active [ ] [ ] <br />