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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 12/2/2016 <br /> Submitted on: 11/28/2016 3:27:52PM CERS, ID: 10180807 <br /> Submitted by: Sumera Awan Email: sumeraa@mcdsjc.com Facility ID in CERS: FA0001769 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION <br /> (current EC database) 1 (current submittal) field <br /> Number of Facilities for this Owner <br /> Owner ID OW0000446 J <br /> 0000/;L 4P S C� <br /> Owner name SCHRADER, DON & NANCY SCHRADER, GRJl113' 111 <br /> Mailing address 4502 GEORGETOWN PL STE 100 4502 GEORGETOWN PL STE 100 113 <br /> STOCKTON, CA 95207 STOCKTON, CA 95207 114, 115, 116 <br /> Work phone 209-938-1238 209-938-1238 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001769 <br /> Facility name MCDONALDS#4643 MCDONALDS#4643 3 <br /> Site address 3143 W BENJAMIN HOLT DR 3143 W BENJAMIN HOLT DR 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-478-0234 (209) 478-0234 102 <br /> Facility mailing address 4502 GEORGETOWN PL #100 4502 GEORGETOWN PL #100 108a <br /> STOCKTON, CA 95207-6255 STOCKTON, CA 95207-6255 108b, 108c,load <br /> BILLING INFORMATION <br /> Contact name MCDONALDS#4643 MCDONALDS#4643 140 <br /> Address 4502 GEORGETOWN PL #100 4502 Gerorgetown PL I v 143 <br /> STOCKTON, CA 95207-6255 STOCKTON, CA 95207 144, 145, 146 <br /> Contact phone 209-938-1295 2099381295 141 <br /> Contact email madisonh@mcdsjc.com amandai@mcdsjc.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this ndar year ( ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: I Date: ��67So <br /> Accounting: Reviewed by: 1-6 Date: 121411(o 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 /> 1625-RESTAURANT/BAR 51-100 SEATS PRO160111 VIDAL PEDRAZA Active [ ] [ ] <br /> 1919-HMBP-0O2 Only Food Facility 1 chem units PRO520737 VIDAL PEDRAZA Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO513479 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511191 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO531442 not assigned Inactive [ ] [ ] <br />