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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/22/2017 <br />Submitted on: 5/12/2017 4:34:02PM <br />Submitted by: Shae Porter Email: shae_1974@yahoo.com <br />CERS ID: 10726687 <br />Facility ID in CERS: incorrect <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner : 1 <br />Owner ID <br />OW0000249 <br />Owner name <br />PORTERS PUB LLC <br />Shae Porter <br />111 <br />Mailing address <br />2656 ANCESTRY ST <br />1548 Bennington Ct <br />113 <br />MANTECA, CA 95337 <br />Stockton, CA 95209 <br />114, 115, 116 <br />Work phone <br />209-400-7147 <br />2094707506 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0000307 <br />Facility name <br />PORTERS PUB LLC <br />Porters Pub, LLC <br />3 <br />Site address <br />121 S SCHOOL ST <br />121 S School St Ste A <br />103 <br />City <br />LODI <br />Lodi <br />104 <br />ZIP code <br />95240 <br />95240 <br />105 <br />Facility phone <br />209-400-7147 <br />209-400-7147 <br />102 <br />Facility mailing address <br />121 S SCHOOL ST <br />121 S SCHOOL ST, Suite A <br />108a <br />LODI, CA 95240 <br />Lodi, CA 95240 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />PORTERS PUB LLC <br />Shae Porter <br />140 <br />Address <br />121 S SCHOOL ST <br />121 S School St, Suite A <br />143 <br />LODI, CA 95240 <br />Lodi, CA 95240 <br />144, 145, 146 <br />Contact phone <br />Not Specified <br />209-400-7147 <br />141 <br />Contact email <br />shae_1974@yahoo.com <br />142 <br />Mail invoices to <br />Facility <br />Program record [ HMBP [ ] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: 05`1(a1�8 <br />created [ ] Tiered <br />permit [ ] APSA [ ] CalARP <br />[ ] UST New PE: IQ� <br />Assigned to: icz-. <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next <br />calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />--------------------------------------------------- <br />Accounting: Reviewed by: Zl/J Date: -62-S / !7 Clerical: [ ]File [ ]Relabel file [ ]Create new file <br />[ q -Acct billed Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS PR016 5506 STEPHANIE RAMIREZ Active I I I I <br />t4w 9a-88a- <br />