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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/14/2016 <br />Submitted on: 6/9/2016 2:28:10PM CERS ID: 10183501 <br />Submitted by: Michael Grant Email: railroadhazmat@outlook.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 />OW0008387 <br />OMNI TRAX <br />252 CLAYTON ST 4TH FLOOR <br />DENVER, CO 80206 <br />303-396-4500 <br />FACILITY FILE INFORMATION <br />Facility ID in CERS: FA0010387 <br />Information after CIW processing CERS <br />(current submittal) field <br />Stockton Terminal & Eastern Railroad 111 <br />1330 N. Broadway Ave. 113 <br />Stockton, CA 95205 114, 115, 116 <br />209-466-7001 112 <br />Facility ID <br />FA0010387 <br />Facility name <br />STOCKTON TERMINAL & EAST RAILROAI <br />ST&E East Yard <br />3 <br />Site address <br />1033 STOKES AVE <br />1033 STOKES AVE <br />103 <br />City <br />STOCKTON <br />STOCKTON <br />104 <br />ZIP code <br />95215 <br />95215 <br />105 <br />Facility phone <br />209-466-7001 <br />209-466-7001 <br />102 <br />Facility mailing address <br />1330 N BROADWAY AVE <br />1033 Stokes Ave. <br />108a <br />STOCKTON, CA 95205 <br />Stockton, CA 95215 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />OMNI TRAX <br />Winston Deason <br />140 <br />Address <br />252 CLAYTON ST 4TH FLOOR <br />1330 N. Broadway Ave. <br />143 <br />DENVER, CO 80206 <br />Stockton, CA 95205 <br />144, 145, 146 <br />Contact phone <br />Not Specified <br />209-466-7001 <br />141 <br />Contact email <br />wdeason@omnitrax.com <br />142 <br />Mail invoices to <br />Account <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: 97vt Date: i/ /5-// (' <br />----------------------------------------- <br />Accounting: <br />— --- ------ — -- — — --------- — — - <br />Accounting: Reviewed by: t1b Date: k i Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />1 Acct_bi ified 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 PR0520286 NICHOLAS LOEHRER Active [ ] [ ] <br />1963 - CaIARP PROGRAM 3 FACILITY PR0512675 RAYMOND VON FLUE Active [ ] [ ] <br />1995 - CaIARP FAC STATE SURCHARGE FEE PR0510387 HAZ MAT SJC OES Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0524679 CINDY VO Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533743 not assigned Inactive [ ] [ ] <br />chw�e� j1Qrrw ''�� �A-V'e(+�", 1(!i-'T'?� ne,L,) DW✓)er Qi,, <br />