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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/5/2015 <br /> Submitted on: 12/23/2014 5:31:58PM CERS ID: 10186883 <br /> Submitted by: Lyazzat Segizbayeva Email: Isegizbayeva@3ecompany.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 /> Owner ID OW0001014 <br /> Owner name WALGREENS COMPANY 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 95336-3744 105 <br /> Facility phone 209-825-5481 (209)825-5481 102 <br /> Facility mailing address 3207 Grey Hawk Ct. Ste 200 3E Company, Reg.Dept./Walgreen Co., 3 108a <br /> Carlsbad, CA 92010 Carlsbad, CA 92010 108b,108c,toad <br /> BILLING INFORMATION <br /> Contact name 3E Company, Regulatory Dept/Walgreen Cc 3E Company, Regulatory Dept/Walgreen Cc 140 <br /> Address 3207 GREY HAWK CT, STE 200 3207 GREY HAWK CT, STE 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@3ecompany.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: 4y Date: _ I •S . ( s <br /> Accounting: Reviewed by:_JAb Date: I 6/1S Clerica� File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) PR0527342 LISA MEDINA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO535517 MICHELLE HENRY Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0538631 MICHAEL PARISSI Inactive [ ] <br /> 4557-MED WASTE LIMITED HAULER PR0536055 ROBERT MCCLELLON Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0536003 not assigned Inactive [ ] [ ] <br />