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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/20/2094 <br /> Submitted on: 4/24/2013 11:46:36AM I 1 CERS ID: 10180741 <br /> Submitted by: Gurenderjeet Sandhu Email: gurenderjeetsandhu@yahoos Facility ID in CERS: FA0001393 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner 1D OW0005792 <br /> Owner name SANDHU, GURENDERJEET S SANDHU, GURENDERJEET S 111 <br /> Mailing address 1807 HENRY CT 1807 HENRY CT 113 <br /> RIPON, CA 95366 RIPON, CA 95366 114, 115, 116 <br /> Work phone 209-765-2619 2092394550 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001393 <br /> Facility name MANTECA LIQUOR & FOOD MANTECA LIQUOR & FOOD 3 <br /> Site address 890 N MAIN ST 890 N MAIN ST 103 <br /> City MANTECA MANTECA 104 <br /> Zip code 95336 95336 105 <br /> Facility phone 209-239-4550 (209)239-4550 102 <br /> Facility mailing address 890 N MAIN ST 890 N MAIN ST 108a <br /> MANTECA, CA 95336 MANTECA, CA 95336 108b,108c,10ed <br /> BILLING INFORMATION <br /> Contact name MANTECA LIQUOR & FOOD MANTECA LIQUOR & FOOD 140 <br /> Address 890 N MAIN ST 890 N MAIN ST 143 <br /> MANTECA, CA 95336 MANTECA, CA 95336 144, 145, 146 <br /> Contact phone 209-239-4550 2092394550 141 <br /> Contact email l gurenderjeetsandhu@yahoo.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW j ] 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 /> �c�alendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: WDate:(0 -I <br /> -------------- ------------------- -- <br /> — <br /> Accounting: Reviewed by: -- --Date: <br /> —Date:� Clerical: File [ ] Relabel file [ ] Create new file <br /> — <br /> [ ] Ac filled [ ] Surch ve ifieF d By: Date: <br /> ---------- ---- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> J1617-RETAIL MARKET a 1000 SQ FT W/FOOD PREP PRO161238 LISA MEDINA Active [ ] [ ] <br /> 1920-HMBP-Common Materials PRO521196 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSNR PRO522590 ELENA MANZO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO507583 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> 2361 -UST FACILITY PR0231984 ELENA MANZO Active [ ] [ 1 <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO507276 ALISON YOUNGBLOOD Inactive [ ] ( ] <br />