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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/1/2017 <br />Submitted on: 5/31/2017 4:03:49PM CERS ID: 10182119 <br />Submitted by: Clifford Neher Email: cdneher@sbcglobal.net Facility ID in CERS: FA0006544 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner : 2 <br />OW0009345 <br />MODESTO RESTAURANT GROUP LLC <br />899 Cherry Avenue <br />San Bruno, CA 94066 <br />650-583-6491 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0006544 <br />Facility name <br />CARLS JR RESTAURANT #7415 <br />Site address <br />200 LOUISE AVE <br />City <br />LATHROP <br />ZIP code <br />95330 <br />Facility phone <br />209-858-4894 <br />Facility mailing address <br />2643 THIRD ST <br />2643 THIRD ST <br />LIVERMORE, CA 94550 <br />BILLING INFORMATION <br />114, 115, 116 <br />Contact name <br />JULIE SPENCER <br />Address <br />2643 THIRD ST <br />2643 THIRD ST <br />LIVERMORE, CA 94550 <br />Contact phone <br />925-292-1024 <br />Contact email <br />JULIE _CARLSJR@COMCAST.NET <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />MODESTO RESTAURANT GROUP LLC <br />111 <br />2643 THIRD ST <br />113 <br />LIVERMORE, CA 94550 <br />114, 115, 116 <br />9252921024 <br />112 <br />CARLS JR RESTAURANT #7415 <br />3 <br />200 LOUISE AVE <br />103 <br />LATHROP <br />104 <br />95330 <br />105 <br />(209) 858-4894 <br />102 <br />2643 THIRD ST <br />108a <br />LIVERMORE, CA 94550 <br />10eb, 108c, 1o8d <br />JULIE SPENCER <br />140 <br />2643 THIRD ST <br />143 <br />LIVERMORE, CA 94550 <br />144, 145, 146 <br />9252921024 <br />141 <br />JULIE_CARLSJR@COMCAST.NET <br />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 (] <br />next calendar year [ <br />] exempt from billing <br />1-7 <br />Processed through CERS Integration Wizard by:j Date: <br />--------------- <br />Accounting: Reviewed by: �/ Date: �/ Clerical: <br />[ ] File [ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name <br />Status <br />Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS PR0505109 MELISSA NISSIM <br />Active <br />[ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units PR0520932 MELISSA NISSIM <br />Active <br />[ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0513385 TWO VACANT2 <br />Inactive <br />[ ] [ ] <br />2226 - CalARP PROGRAM PRO614890 TWO VACANT2 <br />Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO511097 HAZ MAT SJC DES <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0534364 not assigned <br />Inactive <br />[ ] [ ] <br />