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'Amok AIIIIL <br /> SAN JOAQUIWOUINTY ENVIRONMENTAL HEALT119PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/22/2015 <br /> Submitted on: 6/20/2015 8:00:49PM CERS ID: 10181069 <br /> Submitted by: Michael Kinsey Email: mike_kinsey@wendpac.com Facility ID in CERS: FA0003191 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000762 <br /> Owner name Joe Johal WENDYS OF THE PACIFIC 111 <br /> Mailing address 1308 Kansas Ave#6 1308 KANSAS AVE STE STE 6 113 <br /> Modesto, CA 95351 MODESTO, CA 95351-1530 114, 115, 116 <br /> Work phone 209-577-6690 209-577-6690 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003191 <br /> Facility name WENDYS#20 (CLOVER) WENDYS#20 (CLOVER) 3 <br /> Site address 725 W CLOVER RD N 725 W CLOVER RD N 103 <br /> City Tracy TRACY 104 <br /> ZIP code 95376 95376 105 <br /> Facility phone 209-836-3346 (209) 836-3346 102 <br /> Facility mailing address 1308 KANSAS AVE STE 6 1308 KANSAS AVE STE 6 108a <br /> MODESTO, CA 95351-1530 MODESTO, CA 95351-1530 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name WENDYS#20 (CLOVER) WENDYS#20 (CLOVER) 140 <br /> Address 1308 KANSAS AVE STE 6 1308 KANSAS AVE STE 6 143 <br /> MODESTO, CA 95351-1530 MODESTO, CA 95351-1530 144, 145, 146 <br /> Contact phone 209-577-6690 209-577-6690 141 <br /> Contact email 142 <br /> Mail invoices to Owner <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: C �2 Date: 643 <br /> fiS <br /> - ------------------------------------------------- <br /> Accounting: Reviewed by: Ub Date: -i /o I Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] 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 /> 1625-RESTAURANT/BAR 51-100 SEATS PRO161132 MELISSA NISSIM Active [ ] [ ] <br /> 1921 -HMSP-Regular-Primary Location PRO520749 MICHAEL PARISSI Active [ 1 [ 1 <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511205 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534298 not assigned Inactive [ ] [ ] <br />