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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/15/2018 <br />Submitted on: 6/16/2018 12:35:09PM CERS ID: 10766218 <br />Submitted by: Amritpal Tiwana Email: tiwanasubs@gmail.com Facility ID in CERS: incorrect <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 1 <br />OW0001818 <br />TIWANA & SONS INC <br />5500 QUASHNICK RD <br />STOCKTON, CA 95212 <br />209-298-6629 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0018282 <br />Facility name <br />SUBWAY #31065 <br />Site address <br />4895 S HWY 99 E FRONTAGE RD # <br />City <br />STOCKTON <br />ZIP code <br />95215 <br />Facility phone <br />209-462-9933 <br />Facility mailing address <br />5500 QUASHNICK RD <br />STOCKTON, CA 95212 <br />BILLING INFORMATION <br />Contact name <br />SUBWAY #31065 <br />Address <br />5500 QUASHNICK RD <br />STOCKTON, CA 95212 <br />Contact phone <br />209-298-6629 <br />Contact email <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />Tiwana & Sons Inc 111 <br />tiwanasubs@gmail.com 113 <br />Stockton, CA 95212 114, 115, 116 <br />2092986629 112 <br />Subway#31065 3 <br />4895 S Highway 99 103 <br />Stockton 104 <br />95215 105 <br />209-462-9933 102 <br />5500 Quashnick Rd 108a <br />Stockton, CA 95212 108b, 108c, 108d <br />Vin Tiwana <br />140 <br />5500 Quashnick Rd <br />143 <br />Stockton, CA 95212 <br />144, 145, 146 <br />2092986629 <br />141 <br />tiwanasubs@gmail.com <br />142 <br />Program record [ ] HMBP [ ] 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 this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: lh Date: Ci ►' g 19 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1623 - RESTAURANT/BAR 1-20 SEATS PR0526985 LEYNA HUYNH Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PR0527526 LEYNA HUYNH Active [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534029 not assigned Inactive [ ] [ ] <br />I� �� i <br />(^ rNAJltV\ `� �`I';,2r c1,,. f9,(k t� (e�, �� Cc3; <br />