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SAN JOAQUI OUNTY ENVIRONMENTAL HEALTFWPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 8/1112015 <br /> Submitted on: 7/2112015 10:56:34AM CERS IUB: 10636618 <br /> Submitted by: Mark Sorgi Email: mark.sorgi@staples.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0006371 <br /> Owner name Staples the Office Superstore East Inc Staples the Office Superstore East Inc 111 <br /> Mailing address 500 Staples Drive 500 Staples Drive 113 <br /> Framingham, MA 01702 Framingham, MA 01702 114, 115, 116 <br /> Work phone 508-253-5000 508-253-5000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014573 <br /> Facility name STAPLES THE OFFICE SUPERSTORE Staples the Office Superstore#1341 3 <br /> Site address 249 COMMERCE AVE 249 Commerce Ave 103 <br /> City MANTECA Manteca 104 <br /> ZIP code 95337 95337 105 <br /> Facility phone 209-824-7264 209-2.39-4045 102 <br /> Facility mailing address 500 STAPLES DR 500 Staples Drive 108a <br /> FRAMINGHAM, MA 01702 Framingham, MA 01702 108b,106c, 10sd <br /> BILLING INFORMATION <br /> Contact name STAPLES THE OFFICE SUPERSTORE Keith Barrows 140 <br /> Address 500 STAPLES DR 500 Staples Drive 143 <br /> FRAMINGHAM, MA 01702 Framingham, MA 01702 144, 145, 146 <br /> Contact phone 209-824-7264 508-253-1498 141 <br /> Contact email Keith.Barrows@staples.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP 1114 SQG HW [ ] LQG HW [ ] RCRA HW New PR#: P_o5`1'0'3 -1 <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 22 Lp <br /> Assigned to: <br /> Please bill: dY full calendar year [ ] prorate this calendar year [ ] next calendar year [ j exempt from billing <br /> Processed through CERS Integration Wizard by: VA Date: <br /> ---------------------------- ---------- <br /> Accounting: <br /> File Relabel file Create new file <br /> Accounting: Reviewed by: � Date: 'cS `t` Clerical: [ ] [ ] [ ] <br /> Acct billed [ By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Pegram Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1615-RETAIL MKT 301-2000 SQ FT(PREPKGDILTD PREP) PRO521464 KADEANNE LINHARES Active [ ] [ 1 <br />