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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/30/2015 <br />Submitted on: 12/28/2015 10:50:35PM CERS ID: 10180607 <br />Submitted by: FARA MASHHOUR 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 <br />4120 DOUGLAS BLVD STE 306 <br />WILLIAM MARCHESE <br />GRANITE BAY, CA 95746-5936 <br />BILLING INFORMATION <br />PR0511260 <br />Contact name <br />DENNYS #7189 <br />Address <br />4120 DOUGLAS BLVD STE 306 <br />not assigned <br />GRANITE BAY, CA 95746-5936 <br />Contact phone <br />Not Specified <br />Contact email <br />VISION FS@SUREWEST.NET <br />Mail invoices to <br />Account <br />Facility ID in CERS: FA0000490 <br />Information after CIW processing CERS <br />(current submittal) field <br />VISION FS INC 111 <br />4120 DOUGLAS BLVD #306-368 113 <br />GRANITE BAY, CA 95746 114, 115, 116 <br />916-726-1294 112 <br />DENNYS #7189 3 <br />701 E KETTLEMAN LN 103 <br />LODI 104 <br />95240 105 <br />(209) 334-1337 102 <br />4120 DOUGLAS BLVD #306-368 108a <br />GRANITE BAY, CA 95746 108b, 108c,108d <br />VISION FS, INC. DBA DENNY'S #7189 <br />140 <br />4120 DOUGLAS BLVD #306-368 <br />143 <br />GRANITE BAY, CA 95746 <br />144, 145, 146 <br />916-726-1294 <br />141 <br />DENNYS@VISION FSINC.CO <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: -Y,71/? Date: <br />-------------------------------------------------- <br />Accounting: Reviewed by: _ 1b Date: P-1646 LS 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 />