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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 4/19/2016 <br /> Submitted on: 2/24/2016 3:49:17PM CERS ID: 10180793 <br /> Submitted by: BETH GRUBA Email: bethg@harmans.com Facility ID in CERS: FA0001652 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION Number of Facilities for this Owner: 1 <br /> Owner ID OW0000440 Overzet 225, Inc. 111 <br /> Owner name HARMAN-LEX INC <br /> Mailing address 8334 GERBER RD 1555 Meadowview Road, Suite 150 113 <br /> SACRAMENTO, CA 95828-3710 Sacramento, CA 95823 114, 115, 116 <br /> Work phone 916-689-2190 916-553-2267 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0001652 KFC LEX #225 3 <br /> Facility name KFC HARMAN-LEX #225 SON WAY 103 <br /> Site address 1537 N WILSON WAY 537 1537 N N WILSON <br /> 104 <br /> City STOCKTON STOC TO 105 <br /> ZIP code 95205-3119 209-45311929 102 <br /> Facility phone 209462-5929 <br /> Facility mailing address 8334 GERBER RD 1555 Meadowview Road, Suite 150 o8b,108a10� <br /> SACRAMENTO, CA 95828-3710 Sacramento, CA 95823 <br /> BILLING INFORMATION 140 <br /> Contact name KFC HARMAN-LEX #225 Overzet 225, Inc. <br /> Address P.O. BOX 572530 c/o 1555 Medowview Road, Suite 150 143 <br /> 144, 145,146 <br /> SALT LAKE CITY, UT 84157 Sacramento, CA 95823 141 <br /> Contact phone 916-689-2190 916-55 142 <br /> Contact email bethg@harmarmans.com <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 IntegratiWizard by: Date: `r I'� <br /> Y� <br /> Accounting: <br /> Reviewed b l�a Date: [� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verifiedB : Date: <br /> ______________ --------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1625-RESTAURANTBAR 51-100 SEATS PRO160612 JEFFREY WONG Active I 1 I 1 <br /> 1919-HMBP-0O2 Only Food Facility PRO529908 JEFFREY WONG Active [ I [ 1 <br /> 2066-MILK DISPENSER PR0200235 WILLIAM MARCHESE Inactive I 1 [ <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533723 not assigned Inactive I 1 <br />