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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 10/12/2015 <br /> Submitted on: 10/7/2015 1:27:48PM CERS ID: 10184739 <br /> Submitted by: Scott Storms Email: cers_admin@relyenvironmental.com Facility ID in CERS: FA0014687 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011698 <br /> Owner name OAK HARBOR FREIGHT LINES Oak Harbor Freight Lines 111 <br /> Mailing address 3018 E LOOMIS RD P.O. Box 1469 113 <br /> STOCKTON, CA 95205 Auburn, WA 98071 114, 115, 116 <br /> Work phone 209-598-7262 (209) 467-7340 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0014687 <br /> Facility name OAK HARBOR FREIGHT LINES Oak Harbor Freight Stockton #038 3 <br /> Site address 3018 E LOOMIS RD 3018 E LOOMIS RD 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95205 95205 105 <br /> Facility phone 209-598-7262 (209) 467-7340 102 <br /> Facility mailing address 3018 E LOOMIS RD 3018 Loomis Rd. 108a <br /> STOCKTON, CA 95205 Stockton, CA 95205 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name OAK HARBOR FREIGHT LINES Tim Baird 140 <br /> Address 3018 E LOOMIS RD 3018 Loomis Rd. 143 <br /> STOCKTON, CA 95205 Stockton, CA 95205 144, 145, 146 <br /> Contact phone Not Specified (209) 467-7340 141 <br /> Contact email tim.baird@oakh.com 142 <br /> Mail invoices to Account <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 calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: (h Date: Clerical: [ ] File [ ] Relabel file [ I 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 PRO521613 JAMIE DE LA ROSA Active [ ] [ I <br /> 2220-SM HW GEN <5 TONS/YR PR0540222 STACY RIVERA Active [ ] [ 1 <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0538267 STACY RIVERA Inactive ( ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO534342 not assigned Inactive [ ] [ ] <br />