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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 7/6/2015 <br />Submitted on: 6/25/2015 8:48:10AM <br />Submitted by: anay reyes Email: areyes@encore.bz <br />CERS ID: 10634131 <br />Facility ID in CERS: incorrect <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 />Owner ID <br />OW0018265 <br />ZIP code 95304-7901 <br />95304 <br />Owner name <br />ENCORE FGBF LLC <br />Encore FGBF, LLC <br />111 <br />Mailing address <br />5005 LBJ FREEWAY STE 1200 <br />5005 LBJ Freeway <br />113 <br />Tracy, CA 95304 <br />DALLAS, TX 75244 <br />Dallas, TX 75244 <br />114, 115, 116 <br />Work phone <br />209-833-8036 <br />214.259-7000 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0022169 <br />Facility name FIVE GUYS <br />Tracy Five Guys <br />3 <br />Site address 2970 W GRANTLINE RD <br />2970 W Grant Line Rd <br />103 <br />City TRACY <br />Tracy <br />104 <br />ZIP code 95304-7901 <br />95304 <br />105 <br />Facility phone 209-833-8036 <br />209.833.8036 <br />102 <br />Facility mailing address 5005 LBJ FREEWAY STE 1200 <br />2970 W Grant Line Rd <br />108a <br />DALLAS, TX 75244 <br />Tracy, CA 95304 <br />108b, 1o8c, 1o8d <br />BILLING INFORMATION <br />Contact name FIVE GUYS <br />Steven Baughman <br />140 <br />Address 5005 LBJ FREEWAY STE 1200 <br />2970 W Grant Line Rd <br />143 <br />DALLAS, TX 75244 <br />Tracy, CA 95304 <br />144, 145, 146 <br />Contact phone Not Specified <br />209.833.8036 <br />141 <br />Contact email <br />fg1649@encore.bz <br />142 <br />Mail invoices to Facility <br />Program record [ ] HMBP [ ] 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 calendar year [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by: 'O <br />Date: <br />Accounting: Reviewed by: bi� Date: g3 lS <br />Clerical: [ ] File [ ] Relabel <br />file [ ] Create new file <br />[ <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status <br />Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS PR0538361 MELISSA NISSIM Active <br />[ ] [ ] <br />1921 - HMBP-Regular-Primary Location PR0540227 NICHOLAS LOEHRER Active <br />[ ] [ ] <br />