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SAN JOAQUI,- .;OUNTY ENVIRONMENTAL HEALTH ��-PARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/10/2015 <br />Submitted on: 3/17/2015 11:01:37AM <br />Submitted by: Joyce Loredo Email: joyce.loredo@yrcfreight.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 />OW0002782 <br />ROADWAY EXPRESS INC <br />10990 ROE AVE <br />OVERLAND PARK, KS 662111213 <br />913-344-3644 <br />FACILITY FILE INFORMATION <br />CERS ID: 10619953 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Reddaway 111 <br />10990 ROE AVE M/S A-605 Attn: ENV Sen 113 <br />Overland Park, KS 66211 114, 115, 116 <br />(913) 344-3000 112 <br />Facility ID <br />FA0018576 <br />Facility name <br />ROADWAY EXPRESS INC TERMINAL <br />Reddaway <br />3 <br />Site address <br />1495 E PESCADERO AVE <br />1495 E Pescadero Ave <br />103 <br />City <br />TRACY <br />Tracy <br />104 <br />ZIP code <br />95304 <br />95304 <br />105 <br />Facility phone <br />209-839-0093 <br />209-941-8030 <br />102 <br />Facility mailing address <br />10990 ROE AVE <br />1495 E. Pescadero Ave. <br />108a <br />OVERLAND PARK, KS 662111213 <br />Tracy, CA 95304 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />ROADWAY EXPRESS INC TERMINAL <br />Reddaway <br />140 <br />Address <br />10990 ROE AVE <br />10990 ROE AVE M/S A-605 Attn: ENV Sen <br />143 <br />OVERLAND PARK, KS 662111213 <br />Overland Park, KS 66211 <br />144, 145, 146 <br />Contact phone <br />209-839-0093 <br />(913) 344-3000 <br />141 <br />Contact email <br />Mail invoices to <br />AK 00 3.?A0i <br />Facilify� A <br />joyce.loredo@yrcfreight.com <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: U� Date: 4. to .(I; - <br />Accounting: <br />(Accounting: Reviewed by: Date: z3 /5 Clerical: File [ ] Relabel file [ ] Create new file <br />Acct billed [ SurG.I tt�ied By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Reactivated Ina t . Lvated <br />1921 - HMBP-Regular-Primary Location PR0527688 not assigned Inactive <br />2220 - SM HW GEN <5 TONS/YR PRO527431 THUY TRAN Inactive [ ] <br />4740 - WASTE TIRE SITE - EXEMPT PR0527436 AMANDA BOERTIEN Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533764 not assigned Inactive [ ] [ ] <br />(? ► k -k- S C Rc-^ 5 , <br />