Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/15/2017 <br />Submitted on: 6/14/2017 2:03:47PM <br />Submitted by. Kristal Helfrich Email: kristal@raymerbusiness.com <br />CERS ID: 10180979 <br />Facility ID in CERS: FA0002607 <br />Facility name <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 />Facility phone <br />Number of Facilities for this Owner: 5 <br />Contact email <br />10eb,108c, toed <br />Owner ID <br />OW0009994 <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513367 HAZ MAT SJC DES Inactive <br />[ ] [ ] <br />Owner name <br />WOMAR INC <br />WOMAR INC <br />111 <br />Mailing address <br />4749 Bennett Drive, Suite 1 <br />4749 Bennett Drive, Suite 1 <br />113 <br />Livermore, CA 94551 <br />Livermore, CA 94551 <br />114, 115, 116 <br />Work phone <br />192-529-2102 <br />19252921024 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0002607 <br />Facility name <br />CARLS JR #7484 <br />Site address <br />7432 PACIFIC AVE <br />City <br />STOCKTON <br />ZIP code <br />95207 <br />Facility phone <br />209-957-2000 <br />Facility mailing address 4749 BENNETT DR, STE I <br />CARLS JR #7484 <br />LIVERMORE, CA 94551 <br />BILLING INFORMATION <br />103 <br />Contact name <br />CARLS JR #7484 <br />Address <br />4749 BENNETT DR, STE I <br />(209)957-2000 <br />LIVERMORE, CA 94551 <br />Contact phone <br />Not Specified <br />Contact email <br />10eb,108c, toed <br />Mail invoices to <br />Account <br />CARLS JR #7484 <br />3 <br />7432 PACIFIC AVE <br />103 <br />STOCKTON <br />104 <br />95207 <br />105 <br />(209)957-2000 <br />102 <br />4749 Bennett Drive, Suite I <br />108a <br />Livermore, CA 94551 <br />10eb,108c, toed <br />KRISTAL HELFRICH 140 <br />4749 Bennett Drive, Suite 1 143 <br />Livermore, CA 94551 144, 145, 146 <br />19252921024 141 <br />KRISTAL@RAYMERBUSINESS.COM 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 [ <br />] exempt from billing <br />Processed through CERS Integration Wizard by: r�.. P;1— Date: (P_6_17 <br />l <br />Accounting: Reviewed by: t& Date: W40111 Clerical: [ ] File[ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status <br />Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS PRO160794 MARIBEL FLOHRSCHUTZ Active <br />[ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PR0521097 MARIBEL FLOHRSCHUTZ Active <br />[ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513367 HAZ MAT SJC DES Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511079 HAZ MAT SJC DES Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO534666 not assigned Inactive <br />[ ] [ ] <br />