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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/27/2017 <br />Submitted on: 2/27/2017 5:16:01 PM <br />Submitted by: Ashley Campbell Email: Ashley. Campbell@stericycle.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 <br />OW0001693 <br />Ross Dress For Less Inc. <br />5130 Hacienda Dr <br />Dublin, CA 94568-7579 <br />925-965-4831 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002588 <br />Facility name <br />DD'S DISCOUNT #5311 <br />Site address <br />4713 QUAIL LAKES DR <br />City <br />Stockton <br />ZIP code <br />95207 <br />Facility phone <br />209-954-9022 <br />Facility mailing address 5130 HACIENDA DRIVE <br />CERS ID: 10689364 <br />Facility ID in CERS: FA0002588 <br />Information after CIW processing CERS <br />(current submittal) field <br />ROSS DRESS FOR LESS, INC 111 <br />5130 HACIENDA DRIVE 113 <br />DUBLIN, CA 94568 114, 115, 116 <br />9259654526 112 <br />DD'S DISCOUNT #5311 <br />DUBLIN, CA 94568 <br />BILLING INFORMATION <br />103 <br />Contact name <br />LICENSING DEPT <br />Address <br />5130 HACIENDA DRIVE <br />916-548-0945 <br />DUBLIN, CA 94568 <br />Contact phone <br />925-965-4526 <br />Contact email <br />LICENSING@ROS.COM <br />Mail invoices to <br />Account <br />CERS ID: 10689364 <br />Facility ID in CERS: FA0002588 <br />Information after CIW processing CERS <br />(current submittal) field <br />ROSS DRESS FOR LESS, INC 111 <br />5130 HACIENDA DRIVE 113 <br />DUBLIN, CA 94568 114, 115, 116 <br />9259654526 112 <br />DD'S DISCOUNT #5311 <br />3 <br />4713 Quail Lakes Dr <br />103 <br />Stockton <br />104 <br />95207 <br />105 <br />916-548-0945 <br />102 <br />5130 HACIENDA DRIVE 108a <br />DUBLIN, CA 94568 108b, 108c, 108d <br />KATHY HATCH/LICENSING DEPT 140 <br />5130 HACIENDA DRIVE 143 <br />DUBLIN, CA 94568 144, 145, 146 <br />9259654526 141 <br />LICENSING@ROS.COM 142 <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: Date: <br />Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ �rrt hillorl r e,rrhargQ verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1620 - RETAIL MKT 26-300 SQ FT (INCIDENTAL FOODS) <br />PRO160290 <br />VIDAL PEDRAZA <br />Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location 8 chem emits <br />PR0540074 <br />JAMIE LIMA <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR <br />PR0516657 <br />MICHELLE HENRY <br />Active [ ] [ ] <br />2213 - HAZ WASTE CE FAC STATE SURCHARGE FEE <br />PRO506870 <br />MICHAEL KITH <br />Inactive [ ] [ ] <br />2233 - HAZARDOUS WASTE CESQT FACILITY <br />PRO506869 <br />MICHAEL KITH <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PRO506871 <br />MICHAEL KITH <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PRO532165 <br />not assigned <br />Inactive [ ] [ ] <br />