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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/27/2016 <br />Submitted on: 6/27/2016 6:42:19AM <br />Submitted by: Armando Padilla Email: armando@ghaimanagement.com <br />CERS ID: 10180651 <br />Facility ID in CERS: FA0000736 <br />Sunny Ghai <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />LODI, CA 95240 <br />Number of Facilities for this Owner: 8 <br />Contact phone <br />Not Specified <br />Owner ID <br />OW0005503 <br />Contact email <br />sunny@ghaimanagement.com <br />Owner name <br />Sunny Ghai <br />Sunny Ghai <br />111 <br />Mailing address <br />1904 Via di Salerno <br />1904 Via di Salerno <br />113 <br />Pleasanton, CA 94566 <br />Pleasanton, CA 94566 <br />114, 115, 116 <br />Work phone <br />510-333-7802 <br />5103337802 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0000736 <br />Facility name <br />BURGER KING <br />BURGER KING <br />3 <br />Site address <br />230 N CHEROKEE LN <br />230 N CHEROKEE LN <br />103 <br />City <br />LODI <br />LODI <br />104 <br />ZIP code <br />95240 <br />95240 <br />105 <br />Facility phone <br />510-508-8934 <br />5105088934 <br />102 <br />Facility mailing address <br />25 EAIRWAY BLVD <br />230 N CHEROKEE LN <br />108a <br />LIVERMORE, CA 94551 <br />LODI, CA 95240 <br />108b, 10sc, 10sd <br />BILLING INFORMATION <br />Contact name <br />BURGER KING <br />Sunny Ghai <br />140 <br />Address <br />25 EAIRWAY BLVD <br />230 N CHEROKEE LN <br />143 <br />LIVERMORE, CA 94551 <br />LODI, CA 95240 <br />144, 145, 146 <br />Contact phone <br />Not Specified <br />5103337802 <br />141 <br />Contact email <br />sunny@ghaimanagement.com <br />sunny@ghaimanagement.com <br />142 <br />Mail invoices to <br />Account <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: <br />-------------------------------------------------- <br />Accounting: Reviewed by: — [,6 Date: 7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified 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 />1625 - RESTAURANT/BAR 51-100 SEATS PRO162490 JEFFREY WONG Active (] [ ] <br />-x+-1919 - HMBP-0O2 Only Food Facility PR0520647 JEFFREY WONG Active [ ] [ ] <br />12399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511070 HAZ MAT SJC OES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534456 not assigned Inactive (] [ ] <br />