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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/10/2014 <br /> Submitted on: 12/9/2014 12:14:09PM CERS ID: 10153909 <br /> Submitted by: Ray Smith Email: ray.smith@nustarenergy.com <br /> Facility ID in CERS: FA0009657 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0007657 <br /> Owner name NUSTAR TERMINALS OPS PARTN LP NuStar Terminals Operations Partnership 111 <br /> Mailing address 2368 Maritime Dr. Suite 275 9280 W. Stockton Blvd. Suite 220 113 <br /> ELK GROVE, CA 95758 Elk Grove, CA 95758 114, 115, 11E <br /> Work phone 916-509-3256 9165093256 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009657 <br /> Facility name NUSTAR TERMINALS OPERATIONS PART NUSTAR TERMINALS OPERATIONS PART 3 <br /> Site address 2941 navy DR 2941 NAVY DR 103 <br /> City STOCKTON <br /> ZIP code 95206-1149 95206-1149 104 <br /> Facility phone 209-943-5662 105 <br /> 209-943-5662 102 <br /> Facility mailing address 2368 MARITIME DRIVE SUITE 275 STO]2181MF1 Stockton Blvd. Suite 220 108a <br /> ELK GROVE, CA 95758 Elk Grove, CA 95758 108b, 108c,10E <br /> BILLING INFORMATION <br /> Contact name NUSTAR TERMINALS OPS PARTN LP NuStar Terminals Operations Partnership 140 <br /> Address 2368 Maritime Dr. Suite 275 9280 W. Stockton Blvd.Suite 220 143 <br /> Elk Grove, CA 95758 Elk Grove, CA 95758 144, 145, 14t <br /> Contact phone 916-509-3238 916-509-3238 141 <br /> Contact email buddy.stubblefield@nustarenergy.com buddy.stubblefield@nustarenergy.com 142 <br /> Mail invoices to Fee k /j/ <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: N V Date: 1i] ie, i 1-1 <br /> Accounting: Reviewed by: Date: Clerical: [�/File [ ] Relabel file [ ] Create new file <br /> [ ] Acc ed [ ] Surcha a fled 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 PRO519810 ROBERT LOPEZ Active [ ] [ ] <br /> 2229-GEN 50<250 TONS PERMIT PR0538405 not assigned Active [ ] [ ] <br /> 2249-RCRA GEN 50<250 TONS PRO513950 STACY RIVERA Active [ ] [ ] <br /> 2835-AST FAC 10 M+ 1-</=100 M GAL CUMULATIVE PRO527865 STACY RIVERA Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PRO503538 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO509657 HAZ MAT SJC DES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531974 not assigned Inactive [ ] [ ] <br />