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SAN JOAQUWOUNTY ENVIRONMENTAL HEALT96PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4I13I2015 <br /> Submitted on: 4110/2015 3:36:19PM CERS ID: 10186829 <br /> Submitted by: Kulvinder Gosal Email: greatsubs92@yahoo.com Facility ID in CERS: FA0018251 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0017589 <br /> Owner name GOSAL, KULVINDER S Gosak, Kulvinder 111 <br /> Mailing address 808 KILARNEY CT 4229 Ligthouse Ave 113 <br /> LATHROP, CA 95330 Modesto, CA 95356 114, 115,116 <br /> Work phone 209-232-9557 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0018251 <br /> Facility name SUBWAY SANDWICHES &SALAD SUBWAY SANDWICHES &SALAD 3 <br /> Site address 18754 E HWY 26 18754 E HWY 26 103 <br /> City LINDEN LINDEN 104 <br /> ZIP code 95236 95236 105 <br /> Facility phone 209-366-3691 (209) 887-2220 102 <br /> Facility mailing address 808 KILARNEY CT 4229 Lighthouse Ave 108a <br /> LATHROP, CA 95330 Modesto, CA 95355 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name SUBWAY SANDWICHES & SALAD SUBWAY SANDWICHES& SALAD 140 <br /> Address 808 KILARNEY CT 4229 Lighthouse Ave 143 <br /> LATHROP, CA 95330 Modesto, CA 95356 144, 145, 146 <br /> Contact phone Not Specified 209-232-9557 141 <br /> Contact email greatsubs92@yahoo.com 142 <br /> Mail invoices to Facility <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: Date: (3 't <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: . 45 —Date: ` /.s Clerical: �g File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge 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 PR0526939 LEYNA HUYNH Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PR0536820 JAMIE DE LA ROSA Active [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0536844 not assigned Inactive [ ] [ ] <br />