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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run.- 8/115/2014 <br /> Submitted on: 4/28/2014 4:52:13PIVI CERS ID: 10465264 <br /> Submitted by: Elsa Nguyen Email: elsa@belshire.com <br /> Facility ID in CERS: FA0002852 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000721 <br /> Owner name 7-ELEVEN INC. 7-ELEVEN INC. 111 <br /> Mailing address 1722 ROUTH STREET 1722 ROUTH STREET 113 <br /> DALLAS, TX 75201 DALLAS, TX 75201 114, 115, 116 <br /> Work phone Not Specified 972-828-6586 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005693 <br /> Facility name 7 ELEVEN STORE* 7-ELEVEN INC. STORE#20680 3 <br /> Site address 9110 THORNTON RD 9110 Thornton Rd 103 <br /> City STOCKTON Stockton 104 <br /> Zip code 95209 95209 105 <br /> Facility phone Not Specified 209-477-6701 102 <br /> Facility mailing address 655 UNIVERSITYAVE SUITE 104 1722 ROUTH STREET 108a <br /> SACRAMENTO, CA 95819 DALLAS, TX 75201 108b, 1o8c,1o8d <br /> BILLING INFORMATION <br /> Contact name 7- ELEVEN INC 7-ELEVEN INC. ATTN: RICHARD MILLS 140 <br /> Address 2711 N HASKELLAVE 1722 ROUTH STREET 143 <br /> DALLAS, TX 75204 DALLAS, TX 75201 144, 145, 146 <br /> Contact phone 916-852-6880 972-828-6586 141 <br /> Contact email RICHARD.MILLS@7-11.COM 142 <br /> Mail invoices to Owner <br /> Program record [ HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ J UST New PE:_ � 1A <br /> Assigned to: <br /> Please bill: X <br /> full calendar year [ ] prorate this calendar year [ J next calendar year j ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 11;�• 15-11 <br /> Accounting: Reviewed by: _Date:` Clerical: _�i File [ ] Relabel file e Create new file <br /> LA Acct billed By.. Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete F RO503130 MICHAEL KITH Inactive [ ] I <br />