Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 11/17/2015 <br />Submitted on: 11/16/2015 5:43:45PM <br />Submitted by: FARA MASH HOUR Email: visionfs@surewest.net <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0009380 <br />VISION FS INC <br />4120 DOUGLAS BLVD STE 306 <br />GRANITE BAY, CA 95746-5936 <br />916-726-1294 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0000490 <br />Facility name <br />DENNYS #7189 <br />Site address <br />701 E KETTLEMAN LN <br />City <br />LODI <br />ZIP code <br />95240 <br />Facility phone <br />209-334-1337 <br />Facility mailing address 4120 DOUGLAS BLVD STE 306 <br />GRANNY o�°,—°�?46-5936 <br />BILLING INFORMATI <br />Contac ame <br />DENNYS #7189 <br />ddress <br />4120 DOUGLAS BLVD STE <br />1625 - RESTAURANT/BAR 51-100 SEATS <br />GRANITE BAY, CA 95746-59 <br />Co tact phone <br />Not Specified <br />ntact email <br />VISIONFS@SUREWEST.NET <br />Ma I invoices to <br />Account <br />CERS ID: 10180607 <br />Facility ID in CERS: FA0000490 <br />Information after CIW processing CERS <br />(current submittal) field <br />VISION FS INC 111 <br />8348 FOXFIRE DR 113 <br />ORANGEVALE, CA 95662 114, 115, 116 <br />916-726-1294 112 <br />DENNYS #7189 <br />701 E KETTLEMAN LN <br />LODI <br />95240 <br />(209) 334-1337 <br />3 <br />103 <br />/ 104 <br />105 <br />102 <br />8348 FOXFIRE DR 0 a <br />ORANGEVALE, A 95662 n„ 10 b, sc, 108d <br />ISION , INC. DBA DENNY'S #71 140 <br />8348 F XFIRE DR 143 <br />O GEVALE, CA 95662 144, 145, 146 <br />9 -726-1294 141 <br />SIONFS@SUREWEST.NET 142 <br />Program record [ ] HM �� [ ] LQG HW [ ] RCRA HW New PR#: _ <br />created Tiered permit [ ] APSA [ ] CalARP [ ] UST 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: 1 I -1-I - I <br />-------------------------------------------------- <br />Accounting: Reviewed by: L1RJ Date: (I / Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />-------------------------------------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS <br />PRO161773 <br />JEFFREY WONG <br />Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location <br />PR0520788 <br />JAMIE DE LA ROSA <br />Active [ ] [ ] <br />2066 - MILK DISPENSER <br />PR0200251 <br />WILLIAM MARCHESE <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511260 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0533807 <br />not assigned <br />Inactive [ ] [ ] <br />