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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/10/2014 <br /> Submitted on: 12/9/2014 2:36:53PM CERS ID: 10180897 <br /> Submitted by: Mark Tanis Email: mtanis@ocatnet.com Facility ID in CERS: FA0002288 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0001766 <br /> Owner name OCAT INC OCAT INC 111 <br /> Mailing address 801 TENTH ST 5TH FLOOR#2 4306 Sisk Rd 113 <br /> MODESTO, CA 95354 MODESTO, CA 95356 114, 115, 11E <br /> Work phone 209-529-6802 209-529-6802 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002288 <br /> Facility name TACO BELL#22201 TACO BELL#22201 3 <br /> Site address 4327 E WATERLOO RD 4327 E WATERLOO RD 103 <br /> City Stockton 104 <br /> ZIP code 95215 95215 105 <br /> Facility phone 209-931-5815 (209) 931-5815 102 <br /> Facility mailing address 801 10TH ST 5TH FLOOR#2 STOCKTON 4306 Sisk Rd 108a <br /> MODESTO, CA 95354 MODESTO, CA 95356 108b,108c,10e <br /> BILLING INFORMATION <br /> Contact name TACO BELL#22201 TACO BELL#22201 140 <br /> Address 801 10TH ST 5TH FLOOR#2 4306 Sisk Rd 143 <br /> MODESTO, CA 95354 MODESTO, CA 95356 144, 145, 14E <br /> Contact phone 209-529-6802 209-529-6802 141 <br /> Contact email mtanis@ocatnet.com 142 <br /> Mail invoices to .Facility /1 �/ <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: Id'i Date: u ]W ] 1.1 <br /> Accounting: Reviewed by: Date: Clerical: [✓J File [ ] Relabel file [ ] Create new file <br /> [ ] Accjt-bifled [ ] Surchar ed By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1625-RESTAURANT/BAR 51-100 SEATS PRO161798 STEPHANIE RAMIREZ Active [ ] [ ] <br /> 1921 -HMBP-Regular-Primary Location PRO520654 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO511082 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 3116-STORMWATER INSPECTION-FOOD PRO523050 STEPHANIE RAMIREZ Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532272 not assigned Inactive [ ] [ ] <br />