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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: 12/30/2014 1:44:14PM CERS ID: 10156541 <br /> Submitted by: Carissa Colli Email: carissa.souza@safeway.com Facility ID in CERS: FA0000838 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0009310 <br /> Owner name Safeway, Inc Safeway, Inc 111 <br /> Mailing address 5918 Stoneridge Mall Rd. 5918 Stoneridge Mal[ Rd 113 <br /> Pleasanton, CA 94588 Pleasanton, CA 94588 114, 115, 11E <br /> Work phone 925-467-3000 925-467-3000 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0000838 <br /> Facility name Safeway#3124 Safeway 3124 3 <br /> Site address 1187 S Main St 1187 S Main St 103 <br /> City Manteca 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 925-467-3000 925-467-3000 <br /> 102 <br /> Facility mailing address PO BOX 9070 Manteca PO Box 29096, MS 6516 108a <br /> Pleasanton, CA 94588 Phoenix,AZ 85038 108b,108c.108 <br /> BILLING INFORMATION <br /> Contact name Safeway#3124 Kathy Hjelm 140 <br /> Address PO BOX 9070 PO Box 29096, MS 6516 143 <br /> Pleasanton, CA 94588 Phoenix,AZ 85038 144, 145, 14f <br /> Contact phone Not Specified 623-869-3577 141 <br /> Contact email rob.singh@safeway.com kathy.hjelm@safeway.com 142 <br /> Mail invoices to Feeilityf <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 this calendar year ( ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wzard by: /IIT Date: i J< i iS <br /> Accounting: Reviewed by: (49> Date: I�I 3 ] 5- • Clerical: [ ] 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 /> 1921 -HMBP-Regular-Primary Location PRO538962 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO538961 MICHELLE HENRY Active [ ] [ ] <br />