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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 2/15/2017 <br />Submitted on: 2/15/2017 9:27:23AM <br />Submitted by: Allen PLouffe Email: allen.plouffe@cafebonappetit.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 : '10 <br />OW0011043 <br />BON APPETIT MGMT CO <br />901 PRESIDENT DR <br />STOCKTON, CA 95211 <br />209-460-3890 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0019096 <br />Facility name <br />UNIVERSITY CENTER <br />Site address <br />901 PRESIDENT DR <br />City <br />STOCKTON <br />ZIP code <br />95211 <br />Facility phone <br />209-946-2264 <br />Facility mailing address <br />901 PRESIDENT DR <br />901 President Dr <br />STOCKTON, CA 95211 <br />BILLING INFORMATION <br />114, 115, 116 <br />Contact name <br />UNIVERSITY CENTER <br />Address <br />901 PRESIDENT DR <br />STOCKTON, CA 95211 <br />Contact phone <br />Not Specified <br />Contact email <br />Mail invoices to <br />Facility <br />CERS ID: 10725751 <br />Facility ID in CERS: FA001909E <br />Information after CIW processing CERS <br />(current submittal) field <br />Bon Appetit Mgmt Co <br />111 <br />901 President Dr <br />113 <br />Stockton, CA 95211 <br />114, 115, 116 <br />2094603890 <br />112 <br />Bon Appetit Marketplace 3 <br />901 President Dr 103 <br />Stockton 104 <br />95211 105 <br />209-460-3899 102 <br />901 President dr 108a <br />Stockton, CA 95211 108b, 108c, 108d <br />Bon Appetit Mgmt Co 140 <br />901 President Dr 143 <br />Stockton, CA 95211 144, 145, 146 <br />2094603890 141 <br />sia.mohsenzadegan@cafebonappetit.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: <br />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: VLA Date: <br />Accounting: Reviewed by: (h Date: r 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 />Record ID Employee name Status Reactivated Inactivated <br />1626 - RESTAURANT/BAR 101 + SEATS PRO528235 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PRO541630 MARIBEL FLOHRSCHUTZ Active [ ] [ ] <br />