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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/9/2017 <br />Submitted on: 3/6/2017 9:04:13PM CERS ID: 10729477 <br />Submitted by: Balbir Dhillon Email: bsdhill@msn.com Facility ID in CERS: incorrect <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0018522 <br />DHILLON, BOBBY (BILBIR SINGH) <br />35669 CARNATION WAY <br />FREMONT, CA 94536 <br />209-473-1313 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0001758 <br />Facility name <br />LYONS <br />Site address <br />3121 W BENJAMIN HOLT DR <br />City <br />STOCKTON <br />ZIP code <br />95219 <br />Facility phone <br />209-473-1313 <br />Facility mailing address 3121 W BENJAMIN HOLT DR <br />STOCKTON, CA 95219 <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />LYONS <br />3121 W BENJAMIN HOLT DR <br />STOCKTON, CA 95219 <br />Not Specified <br />Facility <br />Information after CIW processing CERS <br />(current submittal) field <br />Balbir Dhillon 111 <br />3121 W Benjamin Holt Dr 113 <br />Stockton, CA 95219 114, 115, 116 <br />5106124548 112 <br />Lyon's Restaurant 3 <br />3121 W Benjamin Holt Dr 103 <br />Stockton 104 <br />95219 105 <br />2094731313 102 <br />3121 W Benjamin Holt Dr 108a <br />Stockton, CA 95219 108b, 108c, 108d <br />Balbir Dhillon 140 <br />3121 W Benjamin Holt Dr 143 <br />Stockton, CA 95219 144, 145, 146 <br />5106124548 141 <br />bsdhill@msn.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />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: 0y`^ A"L- Date: 15— 9 —11 <br />Accounting: Reviewed by. i� Date: �1 // 7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1626 - RESTAURANT/BAR 101 + SEATS PRO160178 VIDAL PEDRAZA Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PR0541460 VIDAL PEDRAZA Active [ ] [ ] <br />