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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/24/2018 <br />Submitted on: 4/12/2018 11:33:46AM <br />CERS ID: 10186881 <br />Submitted by: jagmohan kailey Email: jkailey@verizon.net <br />Facility ID in CERS: <br />FA0018511 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION (current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner : 5 <br />Owner ID OW0000526 <br />Owner name KAILEY, JAGMOHAN S INC <br />KAILEY, JAGMOHAN S INC <br />111 <br />Mailing address 1172 E YOSEMITE AVE <br />2126 DANIELS ST <br />113 <br />MANTECA, CA 95337 <br />MANTECA, CA 95337 <br />114, 115, 116 <br />Work phone 209-470-5179 <br />209 825 0900 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0018511 <br />Facility name SUBWAY SANDWICHES <br />SUBWAY SANDWICHES <br />3 <br />Site address 2126 DANIELS ST <br />2126 DANIELS ST <br />103 <br />City MANTECA <br />MANTECA <br />104 <br />ZIP code 95337 <br />95337 <br />105 <br />Facility phone 209-825-0900 <br />(209) 825-0900 <br />102 <br />Facility mailing address 1186 N MAIN ST <br />1186 N MAIN ST <br />108a <br />MANTECA, CA 95336 <br />MANTECA, CA 95336 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name SUBWAY SANDWICHES <br />SUBWAY SANDWICHES <br />140 <br />Address 1186 N MAIN ST <br />1186 N MAIN ST <br />143 <br />MANTECA, CA 95336 <br />MANTECA, CA 95336 <br />144, 145, 146 <br />Contact phone 209-470-5179 <br />209 470 5179 <br />141 <br />Contact email <br />142 <br />Mail invoices to Account <br />Program record [ ] HMBP [ j SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP <br />[ ] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next ca'le'ndar year [ ] exempt from billing <br />I� � <br />Processed through CERS Integration Wizard by: <br />Date: <br />(16 ] 8 <br />File Relabel file Create <br />file <br />Accounting: Reviewed by: Date: <br />Clerical: [ ] [ ] [ ] <br />new <br />[ J Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1624 - RESTAURANT/BAR 21-50 SEATS PR0527338 SCOTT SANGALANG Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PR0529917 SCOTT SANGALANG Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533753 not assigned Inactive [ ] [ ] <br />