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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/27/2018 <br />Submitted on: 4/17/2018 9:57:31AM <br />Submitted by: Aristeo Estrellado Email: aestrellado@rti-inc.com <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 : 1 <br />OW0023041 <br />RESTAURANT TECHNOLOGIES INC <br />2250 PILOT KNOB RD #100 <br />MENDOTA HEIGHTS, MN 55120 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0024466 <br />Facility name <br />RESTAURANT TECHNOLOGIES INC <br />Site address <br />3840 METRO DR STE 200 <br />City <br />STOCKTON <br />ZIP code <br />95215 <br />Facility phone <br />510-429-4797 <br />Facility mailing address 3840 METRO DR STE 200 <br />STOCKTON, CA 95215 <br />BILLING INFORMATION <br />CERS ID: 10757581 <br />Facility ID in CERS: incorrect <br />Information after CIW processing <br />(current submittal) <br />Restaurant Technologies, Inc. <br />2250 Pilot Knob Road, Suite 100 <br />Mendota Heights, MN 55120 <br />(888) 796-4997 <br />Restaurant Technologies, Inc. (#021) <br />3840 Metro Dr <br />Stockton <br />95206 <br />(651) 925-5182 <br />3840 Metro Drive <br />Stockton, CA 95206 <br />Contact name RESTAURANT TECHNOLOGIES INC Lydia O'Donnell <br />Address 3840 METRO DR STE 200 2250 Pilot Knob Road, Suite 100 <br />STOCKTON, CA 95215 Mendota Heights, MN 55120 <br />Contact phone Not Specified (651) 757-4603 <br />Contact email AccountsPayable@rti-inc.com <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: _ <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST 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 [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: i Date: , <br />� I Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />Accounting: Reviewed by: bb Date: <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />------------------------------------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location 4 chem units PR0542546 JAMIE LIMA Active I I I I <br />