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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Report#5022 <br /> Facility Information for CERS Comparison as of 10/30/2018 Date run: 10/30/2018 <br /> Make changes/corrections in RED ink. <br /> CERS ID: 10737214 INFORMATION CHANGE (date) <br /> OWNERSHIP CHANGE (date) <br /> OWNER INFORMATION Number of Facilities for this Owner: 1 CERS <br /> Owner ID OW0002011 field ID <br /> Owner name UJS MANAGEMENT LLC 111 <br /> Mailing address 7628 PACIFIC AVE 113 <br /> STOCKTON, CA 95207 114, 115, 116 <br /> Work phone 209-957-2081 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002654 <br /> Facility name USS FAMILY RESTAURANT 3 <br /> Site address 7628 PACIFIC Ave 103 <br /> City STOCKTON 104 <br /> ZIP code 95207 105 <br /> Facility phone 209-957-2081 102 <br /> Facility mailing address 7628 PACIFIC AVE 108a <br /> STOCKTON, CA 95207 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name --US-' F,�1NtLY-RESTAURANT- �c�r�t� i�r L)1 140 <br /> Mailing address 7628 PACIFIC AVE 143 <br /> STOCKTON, CA 95207 144, 145, 146 <br /> Contact phone -2,09-957-2081 U L/ D 141 <br /> Contact email CO)"), 142 <br /> Mail invoices to Account <br /> LINKED PROGRAM RECORDS <br /> Record ID Employee name Current status Activate Inactivate <br /> 1626-RESTAURANT/BAR 101 +SEATS PRO160862 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br /> 1919-HMBP-0O2 Only Food Facility 1 chem units PR0541564 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br /> 2066-MILK DISPENSER PR0200858 NICHOLAS WIESEMAN Inactive [ ] [ ] <br /> EHD Staff Date: Io 0- 1 <br />