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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> EChanges to EnvisionConnect by CERS Integration Wizard <br /> - Date run: 6/12/2014 <br /> Submitted on: 3!912014 1:25:56PM CERS ID: 10140845 <br /> Submitted by: Robyn West Email: robyn.west@searshc.com Facility ID in CERS: FA0014393 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011435 <br /> Owner name Sears, Roebuck & Co. Sears, Roebuck & Co. 111 <br /> Mailing address 3333 Beverly Road, B5-348A 3333 Beverly Road, B5-348A 113 <br /> City Hoffman Estates Hoffman Estates 114 <br /> State IL IL 115 <br /> ZIP code 60179 60179 116 <br /> Work phone 847-286-0037 847-286-0037 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014393 <br /> Facility name Sears#205916805 Sears#205916805 3 <br /> Site address 3350 Naglee Rd 3350 Naglee Rd 103 <br /> City Tracy Tracy 104 <br /> Zip code 95304 95304 105 <br /> Facility phone 209-830-2300 209-830-2300 102 <br /> Facility mailing address 3350 Naglee Rd 3350 Naglee Rd 108a <br /> City Tracy Tracy 108b <br /> State CA CA 108c <br /> Zip code 95304 95304 108d <br /> BILLING INFORMATION <br /> Contact name Robyn West Robyn West 140 <br /> Address 3333 Beverly Road, 135-348A 3333 Beverly Road, 135-348A 143 <br /> City Hoffman Estates Hoffman Estates 144 <br /> State IL IL 145 <br /> Zip code 60179 60179 146 <br /> Contact phone 847-286-0037 847-286-0037 141 <br /> Contact email robyn.wweest@searshc.com robyn.west@searshc.com 142 <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: 4''1-j'�i'A <br /> Accounting: Reviewed by: Date: Clerical: �ile [ ] Create new file <br /> [ j 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 PR0519251 MICHAEL PARISSI Active <br /> 2220-SM HW GEN <5 TONS/YR PR0535768 MICHELLE HENRY Active [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PR0522411 ALFONSO ARAMBULA Active [ ] [ ] <br />