Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4!24/2018 <br /> Submitted on: 12/28/2017 11:20:55AM CERS ID: 10186883 <br /> Submitted by: Rebecca Lee-Gale Email: rlee@verisk3e.com Facility ID in CERS: FA0018513 <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: 14 <br /> Owner ID OW0001014 <br /> Owner name Walgreen Co. Walgreen Co. 111 <br /> Mailing address 200 Wilmot Road 200 Wilmot Road 113 <br /> Deerfield, IL 60015 Deerfield, IL 60015 114, 115, 116 <br /> Work phone 847-914-2264 (847) 914-2264 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018513 <br /> Facility name WALGREENS#10454 WALGREENS#10454 3 <br /> Site address 1071 N MAIN ST 1071 N MAIN ST 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95336-3744 95336-3744 105 <br /> Facility phone 209-825-5481 (209)825-5481 102 <br /> Facility mailing address 3E Company, Reg.Dept. /Walgreen Co., 32, Verisk 3E, Regulatory Dept/Walgreen Co, 32 108a <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name 3E Company, Regulatory Dept/Walgreen Cc Verisk 3E, Regulatory Department/Walgreer 140 <br /> Address 3207 Grey Hawk Court, Suite 200 3207 Grey Hawk Court, Suite 200 143 <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 144, 145, 146 <br /> Contact phone 760-602-8700 (760) 602-8700 141 <br /> Contact email regulatory@3ecompany.com regulatory@verisk3e.com 142 <br /> Mail invoices to Account <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 <br /> etthis <br /> -calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �"` Date: <br /> Accounting: Rev' wed by: �Date: 5IyI T Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [Acct billed [ ,Y Surcharge verified By: Date_ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 2220-SM HW GEN<5 TONSNR PRO535517 JOHN ALANIZ Active <br /> 1921 -HMBP-Regular-Primary Location 12 chem units PRO538631 NICHOLAS LOEHRER Inactive <br /> 4557-MED WASTE LIMITED HAULER PRO536055 ROBERT MCCLELLON Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0536003 not assigned Inactive [ ] [ ] <br />