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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/14/2015 <br /> Submitted on: 4/13/2015 2:54:42PM CERS ID: 10180865 <br /> Submitted by: Nina Burse Email: ashley.campbell@pscnow.com Facility ID in CERS: FA0002093 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000531 <br /> Owner name DOLGEN CALIFORNIA, LLC DOLGEN CALIFORNIA LLC 111 <br /> Mailing address 100 MISSION RIDGE 100 MISSION RIDGE 113 <br /> GOODLETTSVILLE, TN 37072 GOODLETTSVILLE,TN 37072-2171 114, 115, 116 <br /> Work phone 615-855-4638 6158554638 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002093 <br /> Facility name DOLLAR GENERAL#13632 DOLLAR GENERAL#13632 3 <br /> Site address 2907 E WATERLOO RD 2907 E WATERLOO RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-800-8944 209) 800-8944 102 <br /> Facility mailing address 100 MISSION RIDGE 100 MISSION RIDGE 108a <br /> GOODLETTSVILLE, TN 37072-2171 GOODLETTSVILLE, TN 37072-2171 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name ERIN HOLLOWAY ERIC VOYLES 140 <br /> Address 100 MISSION RIDGE 100 MISSION RIDGE 143 <br /> GOODLETTSVILLE, TN 37072-2171 GOODLETTSVILLE, TN 37072-2171 144, 145, 146 <br /> Contact phone 615-855-4638 615-855-4024 141 <br /> Contact email WMANAGEM@DOLLARGENERLA.COM WMANAGEM@DOLLARGENERLA.COM 142 <br /> Mail invoices to Facility <br /> Program record [ HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: P"S'LoO LO <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: tOt2.( <br /> Assigned to: SA* <br /> Please bill: full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS IntegrationWizardby: � Date: L1" <br /> Accounting: Reviewed by: 0") Date: 07141 5 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ Acct billed [ ]Surshargauoufied ajkj dq /q/u(, By:——_ 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 SO FT (PREPKGD/LTD PREP) PRO161907 STEPHANIE RAMIREZ Active [ ] [ ] <br /> 1698-SPECIAL EVENT PR0537164 STEPHANIE RAMIREZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO537154 STACY RIVERA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO537155 JEFFREY WONG Inactive <br /> (1�, w t 1 C Rcly� <br />