Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/12/2014 <br />Submitted on: 3/9/2014 1:11:47PM <br />CERS ID: 10140785 <br />Submitted by: Robyn West <br />Email: robyn.west@searshc.com <br />Facility ID in CERS: <br />FA0005677 <br />Site address 5110 Pacific Ave <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0004498 <br />209-475-6500 <br />102 <br />Owner name <br />Sears, Roebuck & Co. <br />Sears, Roebuck & Co. <br />111 <br />Mailing address <br />3333 Beverly Road, 65-348A <br />3333 Beverly Road, B5 -348A <br />113 <br />City <br />Hoffman Estates <br />Hoffman Estates <br />114 <br />State <br />IL <br />IL <br />115 <br />ZIP code <br />60179 <br />60179 <br />116 <br />Work phone <br />847-286-0037 <br />847-286-0037 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0005677 <br />Facility name Sears #1288/6791 <br />Sears #1288/6791 <br />3 <br />Site address 5110 Pacific Ave <br />5110 Pacific Ave <br />103 <br />City Stockton <br />Stockton <br />104 <br />Zip code 95207 <br />95207 <br />105 <br />Facility phone 209-475-6500 <br />209-475-6500 <br />102 <br />Facility mailing address 5110 Pacific Ave <br />5110 Pacific Ave <br />108a <br />City Stockton <br />Stockton <br />108b <br />State CA <br />CA <br />108c <br />Zip code 95207 <br />95207 <br />108d <br />BILLING INFORMATION <br />Contact name Robyn West <br />Robyn West <br />140 <br />Address 3333 Beverly Road, 135-348A <br />3333 Beverly Road, B5 -348A <br />143 <br />City Hoffman Estates <br />Hoffman Estates <br />144 <br />State IL <br />IL <br />145 <br />Zip code 60179 <br />60179 <br />146 <br />Contact phone 847-286-0037 <br />847-286-0037 <br />141 <br />Contact email r.obvn`west@searshc.com <br />robyn.west@searshc.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar <br />year [ ] next calendar year [ ] <br />exempt from billing <br />`""1)l <br />Date: <br />Processed through CERS Integration Wizard by: <br />------------- <br />Accounting: Reviewed by: — Date: Clerical: Y, File <br />[ ] Create new file <br />Acct billed Surcharge ve ified <br />[] [] 9 <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID <br />Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0519760Y <br />HAZA SAEED Active <br />[ ] [ ] <br />2217 - APPLIANCE RECYCLER PR0521511 <br />GARRETT BACKUS Inactive <br />[ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0511887 <br />HAZ MAT SJC OES Inactive <br />[ ] [ ] <br />2227 - GEN 5<25 TONS PERMIT PR0517868-/ <br />MICHELLE HENRY Active <br />[ ] [ ] <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete PR0503081 <br />STEVE SASSON Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509599 <br />HAZ MAT SJC OES Inactive <br />[ ] [ ] <br />2840 - AST EXEMPT FAC < 1,320 GAL PR0529072 <br />GARRETT BACKUS Active, Exempt <br />[ ] [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0522403 <br />HARPRIT MATTU Active <br />[ ] [ ] <br />