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SAN JOAQUI OUNTY ENVIRONMENTAL HEALT -PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 3/20/2015 <br /> Submitted on: 1/23/2015 3:24:01 PM CERS ID: 10184561 <br /> Submitted by: BETH GRUBA Email: bethg@harmans.com Facility ID in CERS: FA0014100 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011163 <br /> Owner name HARMAN MGMT/SACRAMENTO REGION HARMAN MGMT/SACRAMENTO REGION 111 <br /> Mailing address 8334 GERBER RD 8334 GERBER RD 113 <br /> SACRAMENTO, SACRAMENTO, CA 95828 114, 115, 116 <br /> Work phone 916-689-2190 916-689-2190 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014100 <br /> Facility name KFC/A&W#284 KFC/A&W#284 3 <br /> Site address 4450 E WATERLOO RD 4450 E WATERLOO RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95215-2306 95215-2306 105 <br /> Facility phone 209-931-8994 (209) 931-8994 102 <br /> Facility mailing address 8334 GERBER RD 8334 GERBER RD 108a <br /> SACRAMENTO, CA 95828-3710 SACRAMENTO, CA 95828-3710 108b,108c,load <br /> BILLING INFORMATION <br /> Contact name KFC/A&W#284 KFC/A&W#284 140 <br /> Address P.O. BOX 572530 P.O. BOX 572530 143 <br /> SALT LAKE CITY, SALT LAKE CITT, UT 84157 144, 145, 146 <br /> Contact phone 801-313-8000 801-313-8000 141 <br /> Contact email 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: p5m Date: "S-;Io "15 <br /> ------------------------------------------ <br /> Accounting: Reviewed by:_ tit) Date: 3 zy /� 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 /> 1625-RESTAURANT/BAR 51-100 SEATS PRO518724 LEYNA HUYNH Active [ ] [ ] <br /> tx�?,„ fagulxrPrimaryLocation PR0521250 tJAMIEDELAROSA Active [ ] [ ] <br /> 2'33 9-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0518726 Inactive [ ] [ ] <br /> 3116-STORMWATER INSPECTION-FOOD PR0523053 VIDAL PEDRAZA Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531761 not assigned Inactive [ ] [ ] <br />