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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/13/2018 <br />Submitted on: 4/20/2018 11:16:09AM <br />Submitted by: laury Ketcham Email: laury.ketcham@drgfood.com <br />CERS ID: 10182255 <br />Facility ID in CERS: FA0007581 <br />Employee name <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 />KADEANNE LINHARES <br />Number of Facilities for this Owner: 3 <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513408 <br />Owner ID <br />OW0002272 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511120 <br />Owner name <br />Golden Gate Bell LLC <br />Golden Gate Bell LLC <br />111 <br />Mailing address <br />5673 W LAS POSITAS BLVD STE 201 <br />5635 W LAS POSITAS BLVD STE 406 <br />113 <br />PLEASANTON, CA 94588 <br />PLEASANTON, CA 94588-4076 <br />114, 115, 116 <br />Work phone <br />925-621-2600 <br />925-621-2600 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0007581 <br />Facility name <br />TACO BELL #30779 <br />TACO BELL #30779 <br />3 <br />Site address <br />2880 W GRANT LINE RD <br />2880 W GRANT LINE RD <br />103 <br />City <br />TRACY <br />TRACY <br />104 <br />ZIP code <br />95304 <br />95304 <br />105 <br />Facility phone <br />209-836-9907 <br />(209) 836-9907 <br />102 <br />Facility mailing address <br />5635 W LAS POSITAS BLVD STE 406 <br />5635 W LAS POSITAS BLVD STE 406 <br />108a <br />PLEASANTON, CA 94588-4076 <br />PLEASANTON, CA 94588-4076 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />Address <br />Contact phone <br />Contact email <br />Mail invoices to <br />GOLDEN GATE BELL LLC <br />PO BOX 638 <br />NIXA, MO 65714 <br />925-621-2600 <br />Laury.Ketcham@ggbell.com <br />Account <br />Accounts Payable 140 <br />5635 W LAS POSITAS BLVD STE 406 143 <br />PLEASANTON, CA 94588-4076 144, 145, 146 <br />925-621-2600 141 <br />Laury.Ketcham@ggbell.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: �� Date: <br />Accounting: Reviewed by L4� Date: �/'7 II Clerical: (] File [ ] Relabel file [ ] Create new file <br />[ By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS <br />PR0506684 <br />KADEANNE LINHARES <br />Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units <br />PR0520683 <br />KADEANNE LINHARES <br />Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513408 <br />TWO VACANT2 <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511120 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0534112 <br />not assigned <br />Inactive [ ] [ ] <br />