Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/21/2014 <br /> Submitted on: 3/5/2013 11:49:50AM CERS ID: 10181853 <br /> Submitted by: abdul halim Email: tatafoods@yahoo.com Facility ID in CERS: FA0005537 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0005470 <br /> Owner name TATA FOODS CORP TATA FOODS CORP 111 <br /> Mailing address 27167 FIELDING DR 16851 S HARLAN RD 113 <br /> HAYWARD, CA 94542 LATHROP, CA 95330 114, 115, 116 <br /> Work phone 209-825-2050 (209)982-0226 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005537 <br /> Facility name DENNYS RESTAURANT DENNYS RESTAURANT 3 <br /> Site address 5033 S HWY 99 5033 S HWY 99 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95215 95215 105 <br /> Facility phone 209-937-0665 (209) 937-0665 102 <br /> Facility mailing address 16851 S HARLAN RD 16851 S HARLAN RD 108a <br /> LATHROP, CA 95330 LATHROP, CA 95330 108b,1o8c,to8d <br /> BILLING INFORMATION <br /> Contact name DENNYS RESTAURANT DENNYS RESTAURANT 140 <br /> Address 16851 S HARLAN RD 16851 S HARLAN RD 143 <br /> LATHROP, CA 95330 LATHROP, CA 95330 144, 145, 146 <br /> Contact phone 209-937-0665 (209) 937-0665 141 <br /> Contact email 142 <br /> Mai[ invoices to Facility <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 /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 2U Date: Z <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Illed [ ] Surchar — _-------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 /> 1625-RESTAURANT/BAR 51-100 SEATS PR0502698 LEYNA HUYNH Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0521161 ROBERT LOPEZ Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO511150 HAZ MAT SJC DES Inactive [ ] [ ] <br />