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F� SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/20/2014 <br /> Submitted on: 1/15/2014 5:31:10AM CERS ID: 10180743 <br /> Submitted by: Chenoa Mcmillan Email: Chenoa.Mcmillan@riteaid.com Facility ID in CERS: FA0001395 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000686 <br /> Owner name THRIFTY PAYLESS, INC THRIFTY PAYLESS, INC 111 <br /> Mailing address 30 Hunter Lane 30 Hunter Lane 113 <br /> Camp Hill, PA 17011 Camp Hill, PA 17011 114, 115,116 <br /> Work phone 717-761-2633 717-761-2633 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001395 <br /> Facility name RITE AID#6004 RITE AID#6004 3 <br /> Site address 900 N MAIN ST 900 N MAIN ST 103 <br /> City Manteca MANTECA 104 <br /> Zip code 95336 95336 105 <br /> Facility phone 209-239-4175 209-239-4175 <br /> 102 <br /> Facility mailing address 30 Hunter Lane, Alin LICENSING 30 Hunter Lane, Alin EH&S 108a <br /> Camp Hill, PA 17011 Camp Hill, PA 17011 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name RITE AID#6004 Rite Aid Corporation, Attn EH&S 140 <br /> Address 30 Hunter Lane,Alin LICENSING 30 Hunter Lane 143 <br /> Camp Hill, PA 17011 Camp Hill, PA 17011 144, 145, 146 <br /> Contact phone Not Specified 717-975-8643 141 <br /> Contact email rsksafe@riteaid.com rsksafe@riteaid.com 142 <br /> Mail invoices to Facilityi <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 this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: & <br /> --------------- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> --- [ ] Ac illed ( ] Sur gevenfied B y: Date: <br /> ----- ------- -------- ---- ----- <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 Fr (PREPKGD/LTD PREP) PRO161207 LISA MEDINA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO536072 MICHELLE HENRY Active [ ] [ ] <br />