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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/18/2014 <br /> Submitted on: 5/30/2014 12:33:52PM CERS ID: 10166017 <br /> Submitted by: Nicole Long Email: Nicole.long@belshire.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 /> Facility name 7 ELEVEN* #32190A* 7-ELEVEN INC#32190 3 <br /> Site address 4943 S HWY 99 4943 S. STATE RT. 99 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-939-0679 209-939-0679 102 <br /> Facility mailing address PO BOX 711 P.O. BOX 711, ATTN: ENVIRONMENTAL D 108a <br /> DALLAS, TX 752210711 DALLAS, TX 75221 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name 7 ELEVEN* #32190A* 7-ELEVEN INC 140 <br /> Address PO BOX 711 P.O. BOX 711, ATTN: ENVIRONMENTAL D 143 <br /> DALLAS, TX 752210711 DALLAS, TX 75221 144, 145, 146 <br /> Contact phone 253-796-7170 800-828-0711 141 <br /> Contact email STEPHEN.BOYD@7-11.COM 142 <br /> Mai[ invoices to Facility✓ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate <br /> ,this <br /> �calendar year [ ]I-next calendar year [ ] exempt from billing <br /> W <br /> Processed through CERS Integration Wizard by: 'J Date: (0 -J%-� q <br /> Accounting: Review6d by: Date: Clerical: [/File [ ] Relabel file [ ] Create new file <br /> [ ] Acct ' ed [ ] SurchverifiedBy: ---- Date <br /> _ : <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> J 1617-RETAIL MARKET>1000 So FT W I FOOD PREP PR0506683 LEYNA HUYNH Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0520743 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO518149 ELENA MANZO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507796 LETITIA BRIGGS Inactive [ ] [ ] <br /> 2361 -UST FACILITY PRO506488 ELENA MANZO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC/STATE SURCHARGE FEE PRO506743 LETITIA BRIGGS Inactive [ ] [ ] <br /> V <br />