Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/28/2015 <br />Submitted on: 9/18/2015 9:18:19AM <br />Submitted by: zafar khan Email: zafarmalik82@yahoo.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Information prior to CIW processing <br />(current EC database) <br />OW0017790 <br />SINGH, JITENDER PAL <br />824 E YOSEMITE AVE <br />MANTECA, CA 95336 <br />Work phone <br />510-491-3596 , <br />FACILITY FILE INFORMATION <br />108b, 108c, 108d <br />QUICK & ASY OD MART <br />Facility ID <br />Facility name <br />FA0003677 <br />QUICK & EASY FOOD MARTJ <br />Site address <br />City <br />824 E YOSEMITE AVE <br />MANTECA <br />ZIP code <br />95336 <br />Facility phone <br />510-491-3596 <br />Facility mailing address <br />824 E YOSEMITE AVE <br />1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP PR0505505 KADEANNE LINHARES <br />MANTECA, CA 95336 <br />BILLING INFORMATION <br />1920 - HMBP-Common Materials PR0530799 PETER LOMBARDI <br />Contact name <br />QUICK & EASY FOOD MART <br />Address <br />824 E YOSEMITE AVE <br />[ ] [ ] <br />MANTECA, CA 95336 <br />Contact phone <br />510-491-3596 <br />Contact email <br />jitenderpalsingh@yahoo.com <br />Mail invoices to <br />Account <br />CERS ID: 10181295 <br />Facility ID in CERS: FA0003677 <br />Information after CIW processing CERS <br />(current submittal) field <br />ZAFA KES, <br />111 <br />824 E ITE AVE 113 <br />MA CA 95336 114, 115, 116 <br />09) 271 112 <br />QUI K & EASY D MART 3 <br />824E OS TE AVE 103 <br />MANT 104 <br />95 105 <br />09) 823-88 0 102 <br />824 E YOSEMITE\AVE <br />108a <br />MA TECA, CA 95 36 <br />108b, 108c, 108d <br />QUICK & ASY OD MART <br />140 <br />824 E YO ITE AVE <br />143 <br />MANT 95336 <br />144, 145, 146 <br />(20 271-201 <br />141 <br />armalik820v oo.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New ORM <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by: UA Date: Ol ' J -r6' <br />Accounting: Reviewed by: (A Date: q( �� /� Clerical: [ ] <br />File [ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name <br />Status <br />Reactivated Inactivated <br />1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP PR0505505 KADEANNE LINHARES <br />Active <br />[ ] [ ] <br />1920 - HMBP-Common Materials PR0530799 PETER LOMBARDI <br />Active <br />[ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0518762 ELENA MANZO <br />Active <br />[ ] [ ] <br />2361 - UST FACILITY PR0231459 ELENA MANZO <br />Active <br />[ ] [ ] <br />1921 - HMBP-Regular-Primary Location PR0522041 MICHAEL PARISSI <br />Inactive <br />[ ] [ ] <br />2301 - UST STATE SURCHARGE FEE PR0508292 ALISON YOUNGBLOOD <br />Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507395 ALISON YOUNGBLOOD <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532387 not assigned <br />Inactive <br />[ ] [ ] <br />