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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: 6/7/2016 12:14:37PM <br />Submitted by: Michael Grant Email: railroadhazmat@outlook.com <br />CERS ID: 10181389 <br />Facility ID in CERS: FA0003759 <br />Employee name <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />MICHELLE HENRY <br />Number of Facilities for this Owner : 1 <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete <br />PR0231726 <br />Owner ID <br />OW0017407 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0507443 <br />Owner name <br />OMNI TRAX <br />OMNI TRAX <br />111 <br />Mailing address <br />1330 N BROADWAY AVE <br />1330 N BROADWAYAVE <br />113 <br />STOCKTON, CA 95205 <br />STOCKTON, CA 95205 <br />114, 115, 116 <br />Work phone <br />209-466-7001 <br />(209) 466-7001 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0003759 <br />Facility name <br />STOCKTON TERMINAL & EASTERN RR <br />ST&E Roundhouse <br />3 <br />Site address <br />1282 Shaw Rd <br />1282 Shaw Rd <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) 547-1420 <br />102 <br />Facility mailing address <br />1330 N BROADWAY AVE <br />1330 N BROADWAY AVE <br />108a <br />STOCKTON, CA 95205 <br />STOCKTON, CA 95205 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name STOCKTON TERMINAL & EASTERN RR STOCKTON TERMINAL & EASTERN RR 140 <br />Address 1330 N BROADWAY AVE 1330 N BROADWAY AVE 143 <br />STOCKTON, CA 95205 STOCKTON, CA 95205 144, 145, 146 <br />Contact phone 209-466-7001 (209) 466-7001 141 <br />Contact email Ikantack@omnitrax.com cconroy@omnitrax.com 142 <br />Mai[ 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: 6�_ Date: c(OPV[%':�' <br />Accounting: Reviewed by: Z,6 Date: ��/S///o Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Proqram Element and Description <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />..1921 - HMBP-Regular-Primary Location <br />PR0519424 <br />NICHOLAS LOEHRER <br />Active [ ] [ ] <br />2220 - SM HW GEN <5 TONS/YR <br />PR0535898 <br />MICHELLE HENRY <br />Active [ ] [ ] <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete <br />PR0231726 <br />LETITIA BRIGGS <br />Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PR0507443 <br />LETITIA BRIGGS <br />Inactive [ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />PR0534453 <br />not assigned <br />Inactive [ ] [ ] <br />