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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/21/2016 <br />Submitted on: 1/18/2016 1:58:37PM <br />Submitted by: Central California Railcar Repair, LLC Email: ccrga@aol.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 : 1 <br />OW0016165 <br />KEITH LOONEY <br />PO BOX 31062 <br />STOCKTON, CA 95213-1062 <br />209-465-2236 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0019708 <br />Facility name <br />Central California Railcar Repair, LLC <br />Site address <br />2390 Port Road M <br />City <br />Stockton <br />ZIP code <br />95203 <br />Facility phone <br />209-465-2236 <br />Facility mailing address <br />PO Box 31062 <br />Stockton, Ca 95213-1062 <br />BILLING INFORMATION <br />Contact name <br />VERONICA BARRY <br />Address <br />PO Box 31062 <br />Stockton, Ca 95213-1062 <br />Contact phone <br />209-465-2236 <br />Contact email <br />Veronicaccrr@aol.com <br />Mail invoices to <br />Owner <br />CERS ID: 10473790 <br />Facility ID in CERS: FA0019708 <br />Information after CIW processing CERS <br />(current submittal) field <br />RYAN LOONEY 111 <br />PO BOX 31062 113 <br />STOCKTON, CA 95213-1062 114, 115, 116 <br />209-465-2236 112 <br />Central California Railcar Repair, LLC <br />3 <br />2390 Port Road M <br />103 <br />Stockton <br />104 <br />95203 <br />105 <br />209-465-2236 <br />102 <br />PO Box 31062 108a <br />Stockton, CA 95213-1062 108b, 108c, 108d <br />VERONICA BARRY <br />140 <br />PO Box 31062 <br />143 <br />Stockton, CA 95213-1062 <br />144, 145, 146 <br />209-465-2236 <br />141 <br />Veronicaccrr@aol.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 <br />,this <br />�Icalendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: ' �� i <br />Accounting: Reviewed by: bfb Date: ITS 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 />1921 - HMBP-Regular-Primary Location PRO529871 ROBERT LOPEZ Active (] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533838 not assigned Inactive [ ] ( ] <br />