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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/13/2017 <br />Submitted on: 6/9/2017 10:53:18PM <br />Submitted by: Juan Llanos Email: juancllanos7002@gmail.com <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 />650-583-6491 <br />Facility mailing address <br />2643 THIRD ST <br />899 Cherry Avenue <br />LIVERMORE, CA 94550 <br />BILLING INFORMATION <br />114, 115, 116 <br />Contact name <br />CARLS JR RESTAURANT #7415 <br />Address <br />2643 THIRD ST <br />899 Cherry Avenue <br />LIVERMORE, CA 94550 <br />Contact phone <br />Not Specified <br />Contact email <br />Inactive [ ] [ ] <br />Mail invoices to <br />Account <br />CERS ID: 10182119 <br />Facility ID in CERS: FA0006544 <br />Information after CIW processing CERS <br />(current submittal) field <br />MODESTO RESTAURANT GROUP LLC <br />111 <br />899 Cherry Avenue <br />113 <br />San Bruno, CA 94066 <br />114, 115, 116 <br />(650) 583-6491 <br />112 <br />CARLS JR RESTAURANT #7415 <br />3 <br />200 LOUISE AVE <br />103 <br />LATHROP <br />104 <br />95330 <br />105 <br />(650) 583-6491 <br />102 <br />899 Cherry Avenue <br />108a <br />San Bruno, CA 94066 <br />108b, 1o8c, 1o8d <br />Mary Morales <br />140 <br />899 Cherry Avenue <br />143 <br />San Bruno, CA 94066 <br />144, 145, 146 <br />(650) 583-6491 <br />141 <br />Maryermeline@sbcglobal.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 [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: r OM t7— Date: <br />Accounting: Reviewed by: Date: UI100 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />-------------------------------- <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />1625 - RESTAURANT/BAR 51-100 SEATS <br />PR0506109 <br />MELISSA NISSIM <br />Active [ ] [ ] <br />1919 - HMBP-0O2 Only Food Facility 1 chem units <br />PRO520932 <br />MELISSA NISSIM <br />Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION <br />PR0513385 <br />TWO VACANT2 <br />Inactive [ ] [ ] <br />2226 - CalARP PROGRAM <br />PR0514890 <br />TWO VACANT2 <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0511097 <br />HAZ MAT SJC OES <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PRO534364 <br />not assigned <br />Inactive [ ] [ ] <br />