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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 10/3/2016 <br />Submitted on: 9/30/2016 1:00:20PM <br />CERS ID: 10180625 <br />Submitted by: Madison Heim Email: madisonh@mcdsjc.com <br />Facility ID in CERS: <br />FA0000545 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION (current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner : y� <br />boa D0 0 444/ <br />PRO513373 <br />Owner ID OW0000446 / <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />Owner name Craig Sch rad <br />SCHRADER, DON & NANCY <br />111 <br />Mailing address 4502 Ge etown PI <br />4502 GEORGETOWN PL STE 100 <br />113 <br />Stoc n, CA 95207 <br />Stockton, CA 95207 <br />114, 115, 116 <br />Work phone 2 -938-1295 <br />209-938-1238 <br />112 <br />FACILITY FILE INFORM ION <br />Facility ID FA0000545 <br />Facility name MCDONALDS #10555 <br />MCDONALDS #10555 <br />3 <br />Site address 841 E KETTLEMAN LN <br />841 E KETTLEMAN LN <br />103 <br />City LODI <br />LODI <br />104 <br />ZIP code 95240 <br />95240 <br />105 <br />Facility phone 209-367-0640 <br />(209) 367-0640 <br />102 <br />Facility mailing address 4502 GEORGETOWN PL #100 <br />4502 GEORGETOWN PL #100 <br />108a <br />STOCKTON, CA 95207-6255 <br />STOCKTON, CA 95207-6255 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name MCDONALDS #10555 <br />MCDONALDS #10555 <br />140 <br />Address 4502 GEORGETOWN PL #100 <br />4502 Georgetown Place <br />143 <br />STOCKTON, CA 95207-6255 <br />STOCKTON, CA 95207-6255 <br />144, 145, 146 <br />Contact phone 209-938-1238 <br />2099381274 <br />141 <br />Contact email madisonh@mcdsjc.com <br />sumeraa@mcdsjc.com <br />142 <br />Mail invoices to Account <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 ndar year [ ] next calendar year [ ] exempt from billing <br />Date: <br />Processed through CERS Integration Wizard by: <br />Accounting: Reviewed by: I6 Date: 4' <br />Clerical: [ ] File [ ] Relabel file [ ] Create <br />new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <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 />PRO162307 <br />JEFFREY WONG <br />Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility <br />PR0520657 <br />JEFFREY WONG <br />Active [ ] [ ] <br />224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PRO513373 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511085 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0532313 <br />not assigned <br />Inactive [ ] [ ] <br />