Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 11/29/2016 <br />Submitted on: 11/28/2016 10:53:50AM <br />Submitted by: Sumera Awan Email: sumeraa@mcdsjc.com <br />CERS ID: 10180987 <br />Facility ID in CERS: FA0002724 <br />Employee name <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />STEPHANIE RAMIREZ <br />Number of Facilities for this Owner : 2 <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513481 <br />Owner ID <br />OW0021002 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511193 <br />Owner name <br />SCHRADER, NANCY <br />SCHRADER, NANCY <br />111 <br />Mailing address <br />4502 GEORGETOWN PL STE 100 <br />4502 GEORGETOWN PL STE 100 <br />113 <br />STOCKTON, CA 95207 <br />STOCKTON, CA 95207 <br />114, 115, 116 <br />Work phone <br />209-938-1238 <br />209-938-1238 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002724 <br />Facility name <br />MCDONALDS #3017 <br />MCDONALDS #3017 <br />3 <br />Site address <br />8020 LOWER SACRAMENTO RD <br />8020 LOWER SACRAMENTO RD <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />95210 <br />95210 <br />105 <br />Facility phone <br />209-478-0234 <br />(209) 478-0234 <br />102 <br />Facility mailing address <br />4502 GEORGETOWN PL #100 <br />4502 GEORGETOWN PL #100 <br />108a <br />STOCKTON, CA 95207-6522 <br />STOCKTON, CA 95207-6522 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />MCDONALDS #3017 <br />MCDONALDS #3017 <br />140 <br />Address <br />4502 GEORGETOWN PL #100 <br />4502 Gerorgetown PL #tb o <br />143 <br />STOCKTON, CA 95207-6522 <br />STOCKTON, CA 95207 <br />144, 145, 146 <br />Contact phone <br />209-938-1295 <br />2099381295 <br />141 <br />Contact email <br />madisonh@mcdsjc.com <br />amandai@mcdsjc.com <br />142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ J 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 thialendar year [ ]next calendar year [ ]exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: _ tf�) Date". �30 /(l 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 <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1626 - RESTAURANT/BAR 101 + SEATS <br />PRO160844 <br />STEPHANIE RAMIREZ <br />Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility <br />PR0520739 <br />STEPHANIE RAMIREZ <br />Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513481 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511193 <br />HAZ MAT SJC OES <br />Inactive [ ] ( ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0533689 <br />not assigned <br />Inactive [ ] [ ] <br />