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SAN JOAQUIN COUNTY ENVIRONMENTAL WEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date_run: 9!812016 <br /> Submitted on: 9/8/2016 5:46:16AM CERS ID: 10504351 <br /> Submitted by: Angela Jones Email: ajones@dollartree.com Facility ID in CERS: FA0022370 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0018825 <br /> Owner name Dollar Tree Stores, Inc. Dollar Tree Stores, Inc. 111 <br /> Mailing address 500 Volvo Pkwy 500 Volvo Pkwy 113 <br /> Chesapeake, VA 23320 Chesapeake, VA 23320 114, 115, 116 <br /> Work phone 757-321-5000 757-321-5000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022370 <br /> Facility name Dollar Tree#05531 Dollar Tree#05531 3 <br /> Site address 2400 McHenry Ave 2400 McHenry Ave 103 <br /> City Escalon Escalon 104 <br /> ZIP code 95320 95320 105 <br /> Facility phone 209-838-7209 209-838-7209 102 <br /> Facility mailing address 500 Volvo Pkwy 500 Volvo Pkwy 108a <br /> Chesapeake, VA 23320 Chesapeake, VA 23320 108ti,108c, 108d <br /> BILLING INFORMATION <br /> Contact name Amy Smalls Angela Jones 140 <br /> Address 500 Volvo Pkwy 500 Volvo Pkwy 143 <br /> Chesapeake, VA 23320 Chesapeake, VA 23320 144, 145, 146 <br /> Contact phone 757-321-5369 757-321-5761 141 <br /> Contact email asmalls@dollartree.com ajones@dollartree.com 142 <br /> Mail invoices to 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 [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: I /o K/f[�a <br /> - — — - -—————— --- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> AGGt biiied [ 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 /> 1618-RETAIL MKT>2000 SQ FT (PREPKGD I LTD PREP) PR0538948 KADEANNE LINHARES Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO539416 NICHOLAS LOEHRER Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO539306 MICHELLE HENRY Active [ ] [ ] <br />