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SAN JOAQU _ "OUNTY ENVIRONMENTAL HEALTH. _,EPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/10/2015 <br />Submitted on: 4/6/2015 4:44:45PM <br />Submitted by: Armando Padilla Email: armando@ghaimanagement.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 />OW0005503 <br />Quikserve Enterprises INC <br />1904 Via di Salerno <br />Pleasanton, CA 94566 <br />209-367-7693 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0013920 <br />Facility name <br />BURGER KING #14321 <br />Site address <br />6361 W HWY 12 <br />City <br />LODI <br />ZIP code <br />95240 <br />Facility phone <br />209-333-0180 <br />Facility mailing address 1904 VIA DI SALERNO <br />PLEASANTON, CA 94566-2117 <br />BILLING INFORMATION <br />CERS ID: 10184541 <br />Facility ID in CERS: FA0013920 <br />Information after CIW processing CERS <br />(current submittal) field <br />Sunny Ghai 111 <br />1904 Via di Salerno 113 <br />Pleasanton, CA 94566 114, 115, 116 <br />5103337802 112 <br />BURGER KING #14321 3 <br />6361 W HWY 12 103 <br />LODI 104 <br />95240 105 <br />5105088934 102 <br />6361 W HWY 12 108a <br />LODI, CA 95240 108b,108c, 108d <br />Contact name BURGER KING #14321 <br />Sunny Ghai <br />140 <br />Address 1904 VIA DI SALERNO <br />6361 W HWY 12 <br />143 <br />PLEASANTON, CA 94566-2117 <br />LODI, CA 95240 <br />144, 145, 146 <br />Contact phone Not Specified <br />5103337802 <br />141 <br />Contact email <br />sunny@ghaimanagement.com <br />142 <br />Mail invoices to F ity <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 <br />year [ ] next calendar year [ ] <br />exempt from billing <br />Processed through CERS Integration Wizard by: <br />Date: 4Z/3//S <br />Accounting: Reviewed by: Date: <br />Clerical: [ ] File [ ] Relabel file <br />[ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR <br />TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID <br />Employee name Status Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS PR0518461 <br />KADEANNE LINHARES Active <br />[ ] [ ] <br />1921 - HMBP-Regular-Primary Location PR0521267 <br />JAMIE DE LA ROSA Active <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0519175 <br />HAZ MAT SJC OES Inactive <br />[ J [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0531380 <br />not assigned Inactive <br />[ ] [ ] <br />