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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 11/6/2014 <br /> Submitted on: 912912014 1:17;29PM CERS ID: 105p9214 <br /> Submitted by: Chris Baker Email: Chris.Baker@stericycle.com <br /> Facility ID in CERS: FA0019389 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001693 <br /> Owner name Ross Dress For Less Inc. Ross Dress For Less Inc. 111 <br /> Mailing address 5130 Hacienda Dr 5130 Hacienda Dr 113 <br /> Dublin, CA 94568-7579 Dublin, CA 94568-7579 114, 115, 11E <br /> Work phone 925-965-4831 925-965-4831 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019389 <br /> Facility name ROSS DRESS FOR LESS Ross Dress For Less#0995 3 <br /> Site address 2220 DANIELS ST 2220 Daniels St 103 <br /> City MANTECA Manteca 104 <br /> Zip code 95337 95337 105 <br /> Facility phone 209-824-0794 209-824-0794 102 <br /> Facility mailing address 5130 HACIENDA DR 3RD FL 5130 Hacienda Dr 108a <br /> DUBLIN, CA 94568-7579 Dublin, CA 94568-7579 108b,1©8c,10E <br /> BILLING INFORMATION <br /> Contact name ROSS DRESS FOR LESS Sean Hewitt 140 <br /> Address 5130 HACIENDA DR 3RD FL 5130 Hacienda Dr 143 <br /> DUBLIN, CA 94568-7579 Dublin, CA 94568-7579 144, 145, 14f <br /> Contact phone Not Specified 925-965-4113 141 <br /> Contact email sean.hewitt@ros.com 142 <br /> Mail invoices to Facility .. <br /> Program record [ ] HMBP [. ] SQG HW j ] LQG HW [ ] RCRA HW New PR#: C353�t S�(c <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: 22Za <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: '"j 7 Date:_ f/cl <br /> Accounting: Reviewed b : Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac illed [ ] Su rch veri ed _ By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Efement and Description Record ID Employee name Status Reactivated Inactivated <br /> 1615-RETAIL MKT 301-2000 SQ FT{PREPKGD/LTD PREP; PRO528982 LISA MEDINA Active [ } [ ] <br />