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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/1/2015 <br />Submitted on: 8/26/2015 1:20:22PM CERS ID: 10636690 <br />Submitted by: Dean Davis Email: squeezeinntracy@gmail.com Facility ID in CERS: FA0018699 <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 />OW0015366 <br />SOJOJKM LLC <br />6373 E PELTIER RD <br />ACAMPO, CA 95220 <br />209-833-7992 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0018699 <br />Facility name <br />SQUEEZE INN <br />Site address <br />2742 NAGLEE RD <br />City <br />TRACY <br />ZIP code <br />95304 <br />Facility phone <br />209-833-7992 <br />Facility mailing address <br />2742 NAGLEE RD <br />2742 Naglee Rd. <br />TRACY, CA 95304 <br />BILLING INFORMATION <br />114, 115, 116 <br />Contact name <br />SQUEEZE INN <br />Address <br />2742 NAGLEE RD <br />TRACY, CA 95304 <br />Contact phone <br />209-368-1271 <br />Contact email <br />Mail invoices to <br />Facility <br />Information after CIW processing CERS <br />(current submittal) field <br />Sojojkm LLC <br />111 <br />2742 Naglee Rd. <br />113 <br />Tracy, CA 95304 <br />114, 115, 116 <br />2098337992 <br />112 <br />Squeeze Inn <br />3 <br />2742 Naglee Rd <br />103 <br />Tracy <br />104 <br />95304 <br />105 <br />2098337992 <br />102 <br />2742 Naglee Rd 108a <br />Tracy, CA 95304 108b, 108c, 1084 <br />Sojojkm LLC 140 <br />2742 Naglee Rd 143 <br />Tracy, CA 95304 144, 145, 146 <br />2098337992 141 <br />squeezeinntracy@gmail.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: _ <br />created (] Tiered permit [ ] APSA [ ] CalARP [ ] UST 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: V PJ Date: C,' � . t <br />-------------------------------------------------- <br />Accounting: Reviewed by: Date: �� S Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ; Acct billed f 1 4'I Ir/`harao yofi�a By: Date: <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 PR0527596 MELISSA NISSIM Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location PR0540288 PETER LOMBARD] Active [ ] [ ] <br />