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E:: <br /> SAN JOAQUIN COUNTY::::::PARTMENT <br /> Changes to Envisiord <br /> Submitted on: 9/2/2014 12:32:49PM Date run: 11/6/2014 <br /> Submitted by: Karina Romero Email: kromero@3ecompany.com CERS ID: 10454884 <br /> Facility ID in CERS: FA0021338 <br /> Information prior to CIW Processing <br /> OWNER INFORMATION (current EC database) Information after CIW processing CERS <br /> Owner ID OW0017599 (current submittal) field <br /> Owner name Walgreen Co. <br /> Mailing address 200 Wilmot Road Walgreen Co. <br /> Deerfield, IL 60015 200 Wilmot Road 111 <br /> Work phone 847-914-2264 Deerfield, IL 60015 113 <br /> (847) 914-2264 114. 115, itf <br /> FACILITY FILE INFORMATION 112 <br /> Facility ID FA0021338 <br /> Facility name Walgreens#9723 <br /> Site address 3131 W Hammer Ln Walgreens#9723 <br /> City Stockton 3131 W Hammer Ln 3 <br /> Zip code 95209 Stockton 103 <br /> Facility phone 209-476-8819 95209 104 <br /> (209) 476-8819 105 <br /> Facility mailing address 3207GREY HAWK CT STE 200102 <br /> 3E Company, Regulatory Dept/Walgreen, K 108a <br /> BILLING INFORMATION CARLSBAD, CA 92010 <br /> Carlsbad, CA 92010 108b,mac,loa <br /> Contact name Walgreens#9723 3E Company, Regulatory Dept/Walgreens 140 <br /> Address 3207GREY HAWK CT STE 200 <br /> CARLSBAD, CA 92010 3207 Grey Hawk Court, Suite 200 143 <br /> Contact phone Not Specified Carlsbad, CA 92010 144, 145, 14( <br /> 9 <br /> Contact email re ulato (760) 602-8700 141 <br /> Mail invoices to Feeilily, ry@3ecompany.com regulatory@3ecompany.com 142 <br /> Program record [ ] HMBP [ ] SQG HW <br /> created [ 1 LQG HW [ ] RCRA HW New PR#: <br /> [ j Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ) full calendar year [ ] prorate this calendar year <br /> A^�` y [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: N7 Date: 6114 <br /> — <br /> Accounting: Reviewed by: Date: Clerical: [ ] File ( ] Relabel file [ ] Create new file <br /> [ ] Aco-bMed [ ] Surcha n lef d By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PRO539381 HAZA SAEED Active [ ] D9 <br /> 2220-SM HW GEN<5 TONS/YR PRO538448 MICHELLE HENRY Active [ ] 11 <br />