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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/5/2015 <br /> Submitted on: 1/3/2015 4:24:28PM <br /> 823 <br /> Submitted by: Abelardo Rodriguez Email: lalorodriguezadalbertos@yahoo.com FCERS ID:acility ID in CERS: A00FA00001874 <br /> 974 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001466 <br /> Owner name DAVILA-ORTIZ, ROBERTO DAVILA-ORTIZ, ROBERTO 111 <br /> Mailing address 3243 W HAMMER LN 3243 W HAMMER LN <br /> STOCKTON, CA 95209STOCKTON, CA 95209 11a, 113 11e <br /> Work phone 858-538-1901 (619)301-8550 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001874 <br /> Facility name ADALBERTOS MEXICAN FOOD ADALBERTOS MEXICAN FOOD 3 <br /> Site address 3243 W HAMMER LN 3243 W HAMMER LN 103 <br /> City STOCKTON 104 <br /> 95209 <br /> ZIP code 95209 <br /> Facility phone 209-957-7480 952957-7480 105 <br /> 102 <br /> Facility mailing address 3243 W HAMMER LN STOCKTON 3243W HAMMER LN 108a <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 108b,10ec,10e <br /> BILLING INFORMATION <br /> Contact name ADALBERTOS MEXICAN FOOD ADALBERTOS MEXICAN FOOD 140 <br /> Address 3243 W HAMMER LN 3243 W HAMMER LN 143 <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 144, 145, 14E <br /> Contact phone 209-957-7480 (209) 957-7480 141 <br /> Contact email 142 <br /> Mail invoices to Fee"f/ <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: [ j full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: fd 1 Date: <br /> Accounting: Reviewed by: tJ Date: 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 /> 1624-RESTAURANT/BAR 21-50 SEATS PRO160082 NICHOLAS WIESEMAN Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0520884 HAZA SAEED Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO515826 JOHNNY YOAKUM Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO532157 not assigned Inactive [ ] [ ] <br />