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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/29/2016 <br />Submitted on: 9/27/2016 10:40:26AM <br />CERS ID: 10707970 <br />Submitted by: Amanda Johnston Email: amanda.johnston@panerabread.com Facility ID in CERS: <br />incorrect <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION (current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner : 4 <br />Owner ID OW0013466 <br />Owner name PANERA LLC <br />Panera, LLC <br />111 <br />Mailing address 3630 S GEYER RD STE 100 <br />3630 South Geyer Road, Suite 100 <br />113 <br />ST LOUIS, MO 63127 <br />St. Louis, MO 63127 <br />114, 115, 116 <br />Work phone 314-984-3489 <br />3149841000 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0023646 <br />Facility name PANERA BREAD #1959 <br />Panera Bread #1959 <br />3 <br />Site address 4932 PACIFIC AVE <br />4932 Pacific Ave <br />103 <br />City STOCKTON <br />Stockton <br />104 <br />ZIP code 95207 <br />95207 <br />105 <br />Facility phone 314-984-3489 <br />3149841000 <br />102 <br />Facility mailing address 3630 S GEYER RD STE 100 <br />3630 South Geyer Road <br />108a <br />ST LOUIS, MO 63127 <br />St. Louis, MO 63127 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name PANERA BREAD #1959 <br />Amanda Johnston <br />140 <br />Address 3630 S GEYER RD STE 100 <br />3630 South Geyer Road <br />143 <br />ST LOUIS, MO 63127 <br />St. Louis, MO 63127 <br />144, 145, 146 <br />Contact phone 314-984-3489 <br />314-984-3489 <br />141 <br />Contact email <br />amanda.johnston@panerabread.com <br />142 <br />Mail invoices to Facility <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP <br />[ ] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate thi calendar year [ ] next calendar year [ ] exempt from billing <br />Integration Wizard by: <br />Date: Mf2g11W <br />Processed through CERS <br />Accounting: Reviewed by: Date: 1ONI t& <br />Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated <br />Inactivated <br />1626 - RESTAURANT/BAR 101 + SEATS PR0541274 MARIBEL <br />FLOHRSCHUTZ Active [ ] <br />[ ] <br />1919 - HMBP-0O2 Only Food Facility PR0541275 MARIBEL <br />FLOHRSCHUTZ Active [ ] <br />[ ] <br />