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SAN JOAQRWOUNTY ENVIRONMENTAL HEAL -PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/17/2014 <br /> Submitted on: 3/7/2013 12:36:08PM CERS ID: 10156541 <br /> Submitted by: Carissa Souza 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 6000 Stoneridge Mall Rd./PO Box 9070 5918 Stoneridge Mall Rd 113 <br /> Pleasanton, CA 94588 Pleasanton, CA 94588 114, 115, 116 <br /> Work phone 925-467-3000 925467-3000 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 Manteca 104 <br /> Zip code 95338 95336 105 <br /> Facility phone 209-824-1144 925-467-3000 102 <br /> Facility mailing address PO BOX 29096 PDBOxPJP_2D 108a <br /> PHOENIX, AZ 850389096 Pleasanton, CA 94588 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name SAFEWAY#3124 Rob Singh 140 <br /> Address PO BOX 29096 6000 Stoneridge Mall Rd/PO Box 9070 143 <br /> PHOENIX, AZ 850389096 Pleasanton, CA 94588 144,145, 146 <br /> Contact phone 209-824-1144 925-469-7164 141 <br /> Contact email rob.singh@safeway.com 142 <br /> Mail invoices to Facility <br /> Program record HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: p205'381211 -1— <br /> created ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: lei(- <br /> Assigned to: 1)AIL ISS l <br /> Please bill: ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: WO Date: (0-1-1 - 1 <br /> Accounting: Reviewed by: Date:.4 Clerical: [ File [ ] Relabel file [/Create new file <br /> ] Acct billed [ ] Surchargevelfied --By: _--- Date:4 --- --- --- -- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1619-RETAIL MKT>1000 So FT(=/>2 DEPTS) PRO163377 LISA MEDINA Active [ ] [ ] <br /> 3 CNC�tA 1� <br />