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SAN JOAQUIm-COUNTY ENVIRONMENTAL HEALTH-CEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 2/512015 <br /> Submitted on: 1/16/2015 12:26:13AM CERS ID: 10186945 <br /> Submitted by: jagmohan kailey Email: jkailey@verizon.net Facility ID in CERS: FA0018671 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0000526 <br /> Owner name KAILEY, JAGMOHAN S INC KAILEY, JAGMOHAN S INC 111 <br /> Mailing address 2126 DANIELS ST 1224 W LATHROP RD 113 <br /> MANTECA, CA 95337 MANTECA, CA 95336 114. 115, 116 <br /> Work phone 209-825-0900 209 470 5179 112 <br /> FACILITY FILE INFORMATION <br /> Facility I D FA0018671 <br /> Facility name SUBWAY SANDWICHES SUBWAY SANDWICHES 3 <br /> Site address 1224 W LATHROP RD 1224 W LATHROP RD 103 <br /> City MANTECA MANTECA 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-825-4411 (209) 825-4411 102 <br /> Facility mailing address 1186 N MAIN ST 1186 N MAIN ST 108a <br /> MANTECA, CA 95336 MANTECA, CA 95336 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name SUBWAY SANDWICHES SUBWAY SANDWICHES 140 <br /> Address 1186 N MAIN ST Y 1186 N MAIN ST 143 <br /> MANTECA, CA 95336 MANTECA, CA 95336 144. 145, 146 <br /> Contact phone 209-470-5179 209 470 5179 141 <br /> Contact email jkailey@verizon.net jkailey@verizon.net 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New 'PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this <br /> , calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by. � _ 4 Date: <br /> Accounting: Reviewed by: -Z.Z— Date: D 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 /> 1623-RESTAURANTIBAR 1-20 SEATS PRO527561 LISA MEDINA Active [ } [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO529935 MICHAEL PARISSI Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531742 not assigned Inactive [ ] [ ] <br />