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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/19/2015 <br />Submitted on: 8/17/2015 10:33:33AM <br />Submitted by: Sukhraj Sandhu Email: getsukhraj@yahoo.com <br />FACILITY FILE INFORMATION <br />Facility ID <br />Information prior to CIW processing <br />OWNER INFORMATION <br />(current EC database) <br />Owner I D <br />OW0014770 <br />Owner name <br />Subway 62325 INC. <br />Mailing address <br />7503 W. Eleventh St <br />Facility phone <br />Tracy, CA 95304 <br />Work phone <br />209-833-6400 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0015225 <br />Facility name <br />SUBWAY SANDWICHES #23995 <br />Site address <br />2449 NAGLEE RD <br />City <br />TRACY <br />ZIP code <br />953047324 <br />Facility phone <br />209-832-7660 <br />Facility mailing address <br />1135 PALOMAR CT <br />2449 Naglee Rd <br />TRACY, CA 95377 <br />BILLING INFORMATION <br />104 <br />Contact name <br />SUBWAY SANDWICHES #23995 <br />Address <br />1135 PALOMAR CT <br />TRACY, CA 95377 <br />Contact phone <br />Not Specified <br />Contact email <br />Mail invoices to <br />Fac <br />CERS ID: 10637290 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Gurpartap Singh 111 <br />1135 Palomar Court 113 <br />Tracy, CA 95377 114, 115, 116 <br />2093215656 112 <br />Subway Sandwiches #23995 <br />3 <br />2449 Naglee Rd <br />103 <br />Tracy <br />104 <br />95304 <br />105 <br />2098327660 <br />102 <br />2449 Naglee RD 108a <br />Tracy, CA 95304 108b, 108c, 1084 <br />Sukhraj Sandhu 140 <br />2449 N Naglee RD 143 <br />Tracy, CA 95304 144, 145, 146 <br />2093215656 141 <br />getsukhraj@yahoo.com 142 <br />Program record [ ] HMSP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate <br />�this <br />, cca�lendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: %/' t Date: \ Ilc LS <br />Accounting: Reviewed by: tfb Date: 9//' h Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />�urrharge 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 />1624 - RESTAURANT/BAR 21-50 SEATS PR0522352 MELISSA NISSIM Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location PRO540248 PETER LOMBARDI Active [ ] [ ] <br />Q'_C. Gi l a4 4 a. l 0A � 'lDCCSf /�-'r �e 6 <br />