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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/24/2017 <br />Submitted on: 7/24/2017 9:23:03AM <br />Submitted by: Armando Padilla Email: armando@ghaimanagement.com <br />CERS ID: 10180909 <br />Facility ID in CERS: FA0002340 <br />Information prior to CIW proces <br />Information after CIW processing CERS <br />OWNER INFORMATION (current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner - 8 <br />1919 - HMBP-0O2 Only Food Facility 1 chem units <br />PR0520670 <br />Owner ID OW0005503 <br />Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />Owner name Sunny Ghai <br />Sunny Ghai <br />111 <br />Mailing address 25 E. Airway Blvd. <br />1904 Via Di Salerno <br />113 <br />Livermore, CA 94551 <br />LODI, CA 95240 <br />114, 115, 116 <br />Work phone 925-292-8359 <br />5105735905 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0002340 <br />Facility name BURGER KING #2268 <br />BURGER KING #2268 <br />3 <br />NL103 <br />Site address 619 W DR MARTIN LUTHER KING JR BLVI <br />City STOCKTON <br />AY <br />STOCKTON <br />04 <br />(✓U.ii'l(X <br />](��IZglY <br />/ <br />ZIP code 95206 <br />95206 <br />105 <br />Facility phone 209-463-2003 <br />(209) 463-2003 0 <br />102 <br />Facility mailing address 25 EAIRWAY BLVD <br />1904 Via Di Salerno <br />108a <br />LIVERMORE, CA 94551 <br />Pleasanton, CA 94566 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name BURGER KING #2268 <br />BURGER KING #2268 <br />140 <br />Address 25 E AIRWAY BLVD <br />1904 Via Di Salerno <br />143 <br />LIVERMORE, CA 94551 <br />Pleasanton, CA 94566 <br />144, 145, 146 <br />Contact phone Not Specified <br />5105735905 <br />141 <br />Contact email sunny@ghaimanagement.com <br />sunny@ghaimanagement.com <br />142 <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] <br />RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] <br />UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year <br />[ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: �ti' l Date: 7 '°'4-t7 <br />------------------ <br />Accounting: Reviewed by: X17 Date:f 1 % Clerical: <br />[ ] File [ ] Relabel file <br />[ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />CIA "tj'10-t tr1-�� P,Ope� <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1626 - RESTAURANT/BAR 101 + SEATS <br />PRO160823 <br />MARIBEL FLOHRSCHUTZ <br />Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units <br />PR0520670 <br />MARIBEL FLOHRSCHUTZ <br />Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513390 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511102 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0534417 <br />not assigned <br />Inactive [ ] [ ] <br />CIA "tj'10-t tr1-�� P,Ope� <br />