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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 12/2/2014 <br /> Submitted on: 12/212014 6:51:29AM CERS ID: 10169649 <br /> Submitted by: Chris Baker Email: Chris.Baker@stericycle.com Facility ID in CERS: FA0015638 <br /> Inlonnation prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0012261 <br /> Owner name Bed, Bath and Beyond, Inc. Bed, Bath and Beyond, Inc. 111 <br /> Mailing adc' s 650 Liberty H,ve 650 LibertyAve 113 <br /> Union, N.1 07083 Union, NJ 07083 114, 115, 11E <br /> Work phone 908-688-0888 908-688-0888 112 <br /> FACILITY FILE INFOR."."rkTION <br /> F _, ) FA0015638 <br /> Faci' Pe ' id Beyond#811 Bed, Bath and Beyond#811 3 <br /> Sih Line Rd 2886 W Grant Line Rd 103 <br /> Tracy 104 <br /> ZIPS 95304 105 <br /> Fad' 209-832-3189 102 <br /> Facility mailinn lire, Suite 1100 5151 San Felipe, Suite 1000 108a <br /> /7056 Houston, TX 77056 108t,108c,10e <br /> BILLING INFO[" <br /> Cone ss Katherine Ritchie 140 <br /> 650 Liberty Ave 143 <br /> J83 Union, NJ 07083 144, 145, 14E <br /> Conta : 7 908-855-4517 141 <br /> Cor ✓ ^' edbath.com katherine.ritchie@bedbath.com 142 <br /> Mail it <br /> Program re— HL'. ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created Tie [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bil' [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed thi 'Wizard by: Al 7 Date: ILW Ict <br /> Accounth.- Date: S Clerical: 4 File [ ] Relabel file [ ] Create new file <br /> char ri led By: Date: <br /> AC )GRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Eleme^' Record ID Employee name Status Reactivated Inactivated <br /> 1620-RETAIL MKl : -r p'.- FOODS) PRO523166 MELISSA NISSIM Active [ ] [ ] <br /> 2220-SM HW GEN PRO536997 THUY TRAN Active [ ] [ ] <br /> ERSC-ELECTRON'. ;,RGE FI PR0536998 THUYTRAN Inactive [ ] [ ] <br />