Laserfiche WebLink
SAN JOAQUh .,OUNTY ENVIRONMENTAL HEALTh L,EPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 3/16/2015 <br />Submitted on: 1/16/2015 12:27:07AM <br />Submitted by: jagmohan kailey Email: jkailey@verizon.net <br />CERS, ID: 10521127 <br />Facility ID in CERS: FA0022338 <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 />Owner ID <br />OW0018619 <br />ZIP code 95337 <br />95337 <br />Owner name <br />kimco reality <br />kimco reality <br />111 <br />Mailing address <br />mission ridge plaza,lp,po box82565 <br />mission ridge plaza,lp,po box82565 <br />113 <br />manteca, CA 95337 <br />goleta, CA 92198 <br />goleta, CA 92198 <br />114, 115, 116 <br />Work phone <br />916-580-2527 <br />9165802527 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0022338 <br />Facility name SUBWAY <br />subway <br />3 <br />Site address 1027 S MAIN ST <br />1027 s .main st <br />103 <br />City manteca <br />manteca <br />104 <br />ZIP code 95337 <br />95337 <br />105 <br />Facility phone 209-824-7820 <br />209 8247820 <br />102 <br />Facility mailing address 1186 n main st <br />1186 n main st <br />108a <br />manteca, CA 95337 <br />manteca, CA 95337 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name SUBWAY <br />jagmohan s kailey <br />140 <br />Address 1027 s main st <br />1027 s .main st <br />143 <br />manteca, CA 95337 <br />manteca, CA 95337 <br />144, 145, 146 <br />Contact phone 209-470-5179 <br />209 470 5179 <br />141 <br />Contact email jkailey@verizon.net <br />jkailey@verizon.net <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 calendar year [ ] next calendar year [ <br />] exempt from billing <br />0 <br />Processed through CERS Integration Wizard by: <br />Date: <br />-------------- <br />3�� �1S <br />Accounting: Reviewed by: W, Date: <br />Clerical: [ ] File [ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO <br />PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status <br />Reactivated Inactivated <br />1624 - RESTAURANT/BAR 21-50 SEATS PR0538881 LISA MEDINA Active <br />[ ] [ ] <br />1921 - HMBP-Regular-Primary Location PR0539571 MICHAEL PARISSI Active <br />[ ] [ ] <br />