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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/22/201 <br /> Submitted on: 12/16/2014 10:65:58AM CERS ID: 10166017 <br /> Submitted by: Deanne Rotta Email: deanne.rotta@7-11.com Facility ID in CERS: FA0007458 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000721 <br /> Owner name 7-ELEVEN INC 7-ELEVEN INC 111 <br /> Mailing address P.O. BOX 711, ATTN: ENVIRONMENTAL D P.O. BOX 711, ATTN: ENVIRONMENTAL D 113 <br /> DALLAS, TX 75221 DALLAS, TX 75221 114, 115, 116 <br /> Work phone 800-828-0711 800-828-0711 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0007458 <br /> Sitedr ss 4943SHWY <br /> Faciname 7-ELEVEN lity �7 aLEVENINC#32190 CAa� �jA� 103 <br /> City Stockton Stockton �S 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-939-0679 209-939-0679 102 <br /> Facility mailing address P.O. BOX 711, ATTN: ENVIRONMENTAL D P.O. BOX 711, ATTN: ENVIRONMENTAL D 108a <br /> DALLAS, TX 75221 DALLAS, TX 75221 10eb,108c,108d <br /> BILLING INFORMATION <br /> Contact name 7-ELEVEN INC 7-ELEVEN INC 140 <br /> Address P.O. BOX 711, ATTN: ENVIRONMENTAL D P.O. BOX 711, ATTN: ENVIRONMENTAL D 143 <br /> DALLAS, TX 75221 DALLAS, TX 75221 144, 145, 146 <br /> Contact phone 800-828-0711 800-828-0711 141 <br /> Contact email STEPHEN.BOYD@7-11.COM STEPHEN.BOYD@7-11.COM 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: 12)I7t <br /> --t t <br /> ----------------------------------------------- - - - <br /> Accounting: Reviewed by: V5 Date:_ I /6116 Clerical: vo File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> -- — — ------------------------ -- - <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP PR0506683 LEYNA HUYNH Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO520743 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO518149 ELENA MANZO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0506488 ELENA MANZO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507796 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO506743 LETITIA BRIGGS Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532974 not assigned Inactive [ ] [ ] <br />