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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 9/6/2017 <br /> Submitted on: 9/5/2017 3:09:41PM CERS ID: 10663120 <br /> Submitted by: Gregory Parks Email: gparks@morganlewis.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 /> Number of Facilities for this Owner: 3 <br /> Owner ID OW0002203 <br /> Owner name TOYS R US Toys"R" Us-Delaware, Inc. 111 <br /> Mailing address 1 GEOFFREY WAY 1 Geoffrey Way 113 <br /> WAYNE, NJ 07470-2030 Wayne, NJ 07470 114,115,116 <br /> Work phone 973-617-3500 973-617-3500 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0015095 <br /> Facility name TOYS R US Toys"R" Us#5810 3 <br /> Site address 718 W HAMMER LN 718 W Hammer Ln 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95210 95210 105 <br /> Facility phone 209-473-9878 (209)473-9877 102 <br /> Facility mailing address 718 W HAMMER LN 718 W Hammer Ln 108a <br /> STOCKTON, CA 95210 Stockton, CA 95210 108b,108c,108a <br /> BILLING INFORMATION <br /> Contact name TOYS R US Zorinah Bridges 140 <br /> Address 718 W HAMMER LN 1 Geoffrey Way 143 <br /> STOCKTON, CA 95210 Wayne, NJ 07470 144, 145, 146 <br /> Contact phone 209-473-9878 973-617-4598 141 <br /> Contact email zorinah.bridges@toysrus.com 142 <br /> Mail invoices to Owner <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �_� COO-t7 <br /> Accounting: Reviewed by: 16 Date: q1011-7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) PR0522142 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO540397 VICKI MCCARTNEY Active [ ] [ ] <br /> A(tpovt,t� as pef- _eg ((Arllaeu.o. <br />