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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/20/2018 <br />Submitted on: 4/13/2018 10:38:43AM CERS ID: 10180665 <br />Submitted by: jagmohan kailey Email: jkailey@verizon.net Facility ID in CERS: FA0000843 <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 : 5 <br />OW0000526 <br />KAILEY, JAGMOHAN S INC <br />1172 E YOSEMITE AVE <br />MANTECA, CA 95337 <br />209-470-5179 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0000843 <br />Facility name <br />SUBWAY SANDWICHES & SALADS #1 <br />Site address <br />1186 N MAIN ST <br />City <br />MANTECA <br />ZIP code <br />95336 <br />Facility phone <br />209-239-3233 <br />Information after CIW processing <br />(current submittal) <br />jagmohan s kailey <br />1186 N MAIN ST <br />MANTECA, CA 95336 <br />209 239 3233 <br />SUBWAY SANDWICHES & SALADS #1 <br />1186 N MAIN ST <br />MANTECA <br />95336 <br />(209) 239-3233 <br />Facility mailing address <br />1186 N MAIN ST <br />1186 N MAIN ST <br />MANTECA, CA 95336 <br />MANTECA, CA 95336 <br />BILLING INFORMATION <br />Contact name <br />SUBWAY SANDWICHES & SALADS #1 <br />jagmohan s kailey <br />Address <br />1186 N MAIN ST <br />1186 N MAIN ST <br />MANTECA, CA 95336 <br />MANTECA, CA 95336 <br />Contact phone <br />209-470-5179 <br />209 470 5179 <br />Contact email <br />jkailey@verizon.net <br />jkailey@verizon.net <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ I prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard bDate: - IHq <br />Accounting: Reviewed by: �'J Date: 9"g �1� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1624 - RESTAURANT/BAR 21-50 SEATS PRO162117 SCOTT SANGALANG Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PR0529932 SCOTT SANGALANG Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532651 not assigned Inactive [ ] [ ] <br />