Laserfiche WebLink
EL- SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/2/2014 <br /> Submitted on: 8/15/2013 3:34:26PM CERS ID: 10186943 <br /> Submitted by: Elizabeth Campos Email: ecampos@3ecompany.com Facility ID in CERS: FA0018668 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001014 <br /> Owner name Walgreen Co Walgreen Co. <br /> Mailing address 200 Wilmot Road 200 Wilmot Road 113 <br /> Carlsbad, CA 60015 Deerfield, IL 60015 114, 115, 116 <br /> Work phone 847-914-2264 (847) 914-2264 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018668 <br /> Facility name WALGRFENS#10631 WALGREENS #10631 3 <br /> Site address 14780 HARLAN RD 14780 HARLAN RD 103 <br /> City LATHROP LATHROP 104 <br /> Zip code 953309719 95330-9719 105 <br /> Facility phone 209-858-2801 (209) 858-2801 102 <br /> Facility mailing address 3207 GREY HAWK CT, STE 200 3207 Grey Hawk Ct, Suite 200 108a <br /> CARLSBAD, CA 92010 Carlsbad, CA 92010 108b. 1080, 108d <br /> BILLING INFORMATION <br /> Contact name WALGRFENS#10631 3E Company, Regulatory Department/Walgr 140 <br /> Address 3207 GREY HAWK CT, STE 200 3207 Grey Hawk Court, Suite 200 143 <br /> CARLSBAD, CA 92010 Carlsbad, CA 92010 144, 145, 146 <br /> Contact phone 847-315-3404 (760) 602-8700 141 <br /> Contact email regulatory@3ecompany.com 142 <br /> Mail invoices to F�Pfty - <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: Date: <br /> Accounting: Reviewed by: Date:' Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] A Illed [ ] Surchagrgeve-rri ied By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 618-RETAIL MKT>2000 SQ FT (PREPKGD 1 LTD PREP) PRO527558 MELISSA NISSIM Active [ ] [ ] <br /> 2220-SM HW GEN <5 TONS/YR PR0535518 MICHELLE HENRY Active [ ] [ ] <br /> 4557 MED WASTE LIMITED HAULER PRO536053 ROBERT MCCLELLON Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PRO535971 not assigned Inactive [ ] [ ] <br />