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F� SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisianConneck by CERS integration Wizard <br /> Date run: 61181201'4 <br /> Submitted on: 5/19/2014 10:24:08AM CERS I©: 10165857 <br /> Submitted by: Nicole Long Email: Nicole.long@belshire.com Facility ID in CERS: FA0000916 <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 FA0000916 <br /> Facility name 7 ELEVEN #19976* 7-ELEVEN INC#19976 3 <br /> Site address 1399 N MAIN ST 1399 N. MAIN ST. 103 <br /> City MANTECA Manteca 104 <br /> Zip code 95336 95336 105 <br /> Facility phone 209-239-3252 209-239-3252 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,load <br /> BILLING INFORMATION <br /> Contact name 7 ELEVEN#19976* 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 916-852-6880 800-828-0711 141 <br /> Contact email 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: -titd•1 <br /> Accounting: Reviewed by: _ Date. Clerical: ] File [ ] Relabel file [ ] Create new file <br /> ] ] Acc ed [ Sur e verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Descriptiog Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location J PR0519808 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PRO513949 ELENA MANZO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231435 ELENA MANZO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507266 ALISON YOUNGBLOOD Inactive [ ] [ ] <br />