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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 12:16:02PM CERS ID: 10180871 <br /> Submitted by: Ray Smith Email: ray.smith@nustarenergy.com Facility ID in CERS: FA0002112 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0010690 <br /> Owner name ST Services- DBA NuStar Energy LP NuStar Terminals Operations Partnership 111 <br /> Mailing address 2941 NAVY DR 9280 W. Stockton Blvd. Suite 220 113 <br /> STOCKTON, CA 95206 Elk Grove, CA 95758 114, 115, 11E <br /> Work phone 209-943-5662 209-943-5662 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0002112 <br /> Facility name SUPPORT TERMINAL SERVICES SUPPORT TERMINAL SERVICES 3 <br /> Site address 3015 NAVY DR 3015 NAVY DR 103 <br /> City STOCKTON 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-943-5662 (209) 943-5662 102 <br /> Facility mailing address 2941 NAVY DR STOCKTON 2941 Navy Dr. 108a <br /> STOCKTON, CA 95206 Stockton, CA 95206 108b,108c.1oe <br /> BILLING INFORMATION <br /> Contact name NuStar Terminals Operations Partnership LF 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, 14E <br /> Contact phone 209-943-5662 209-943-5662 141 <br /> Contact email buddy.stubblefield@nustarenergy.com buddy.stubblefield@nustarenergy.com 142 <br /> Mail invoices to <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ j RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST 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: /1/T Date: i z�tr.lT— <br /> Accounting: Reviewed by: Date: Clerical: [�ile [ ] Relabel file [ ] Create new file <br /> [ ] Ac_ ed [ ] Surchar ri led 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 PR0521090 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0220095 STACY RIVERA Active [ ] [ ] <br /> 2834-AST FAC 1 M+1 -</=10 M GAL CUMULATIVE PRO530921 STACY RIVERA Active [ ] [ ] <br /> 2332-EXEMPT TANK FACILITY PRO502775 MICHAEL KITH Active, Exempt [ ] [ ] <br /> 2233-HAZARDOUS WASTE CESQT FACILITY PRO506890 MICHAEL KITH Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0506892 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532788 not assigned Inactive [ ] [ ] <br />