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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 2/19/2016 <br />Submitted on: 2/9/2016 7:35:20AM <br />Submitted by: Maribel Alamillo Email: malamillo@cecentertainment.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 />OW0013257 <br />CEC ENTERTAINMENT, INC. <br />1707 MARKET PLACE BLVD <br />IRVING, TX 75063 <br />972-258-5481 <br />CERS ID: 10180925 <br />Facility ID in CERS: FA0002415 <br />Information after CIW processing CERS <br />(current submittal) field <br />CEC ENTERTAINMENT, INC. 111 <br />C/O LICENSING DEPT. 1707 MARKET PL 113 <br />IRVING, TX 75063 114, 115, 116 <br />(972)258-5481 112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002415 <br />Facility name <br />CHUCK E CHEESE'S #631 <br />CHUCK E CHEESE'S #631 <br />3 <br />Site address <br />6436 PACIFIC AVE <br />6436 PACIFIC AVE <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />9207 <br />95207 <br />105 <br />Facility phone <br />209-956-2002 <br />(209) 956-2002 <br />102 <br />Facility mailing address <br />1707 MARKET PLACE BLVD <br />C/O LICENSING DEPT. 1707 MARKET PL <br />108a <br />IRVING, TX 75063 <br />IRVING, TX 75063 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />CHUCK E CHEESE'S #631 <br />CHUCK E. CHEESE'S #631 <br />140 <br />Address <br />1707 MARKET PLACE BLVD <br />C/O LICENSING DEPT. 1707 MARKET PL <br />143 <br />IRVING, TX 75063 <br />IRVING, TX 75063 <br />144, 145, 146 <br />Contact phone <br />N'bt Specified <br />(972) 258-5481 <br />141 <br />Contact email <br />MALAMILLO@CECENTERTAINMENT.CON <br />MALAMILLO@CECENTERTAINMENT.COh <br />142 <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 />Please bill: [ ] full calendar year [ ] prorate this <br />�jcalendar year [ ] next calendar year [ ] exempt from billing <br />� <br />Processed through CERS Integration Wizard by: � 1fDate: <br />Accounting: Reviewed by: l� Date: Z�Il Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified 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 />1626 - RESTAURANT/BAR 101 + SEATS PRO160870 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br />,1'921 - HMBP-Regular-Primary Location PRO520991 HAZA SAEED Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0515840 RAYMOND BORGES Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534774 not assigned Inactive [ ] [ ] <br />