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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 10/12/201 <br />Submitted on: 10/7/2015 2:17:23AM <br />CERS ID: 10643371 <br />Submitted by: Jim Toal Email: justwinginit@sbcglobal.net <br />Facility ID in CERS: <br />incorrect <br />1342 E YOSEMITE AVE <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 />Owner ID <br />OW0017924 <br />Owner name <br />JUST WINGIN IT INC <br />Just Wingin It, Inc <br />111 <br />Mailing address <br />2612 BAROLA LN <br />2612 Barola Ln. <br />113 <br />MODESTO, CA 95356 <br />J <br />Modesto, CA 95356 <br />114, 115, 116 <br />Work phone <br />209-824-9464 Wk,S !-M <br />209-985-5700 <br />112 <br />1_n <br />FACILITY FILE INFORMATION (ti{J_k, <br />Facility ID <br />FA0021776 <br />Facility name <br />WING STOP <br />Site address <br />1342 E YOSEMITE AVE <br />City <br />MANTECA <br />ZIP code <br />95336 <br />Facility phone <br />209-824-9464 <br />Facility mailing address 2612 BAROLA LN <br />MODESTO, CA 95356 <br />BILLING INFORMATION <br />Contact name WING STOP <br />Address 2612 BAROLA LN <br />MODESTO, CA 95356 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Facility <br />Wing Stop <br />3 <br />1342 E Yosemite Ave <br />103 <br />Manteca <br />104 <br />95336 <br />105 <br />209-824-9464 <br />102 <br />2612 Barola Ln. 108a <br />Modesto, CA 95356 108b, 108c, 108d <br />Robin Velthoen 140 <br />3608 Corte Madera 143 <br />Modesto, CA 95356 144, 145, 146 <br />209-479-4455 141 <br />robin.springcreek@gmail.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 [ ] exempt from billing <br />- �, I <br />Processed through CERS Integration Wizard by: Date: 0 <br />Accounting: Reviewed by: tb Date: I �'I1 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified 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 PR0537768 KADEANNE LINHARES Active [ ] [ ] <br />1921 - HMBP-Regular-Primary Location PR0540281 NICHOLAS LOEHRER Active [ ] [ ] <br />