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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/16/2016 <br />Submitted on: 6/15/2016 9:19:40AM <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 />OW0021701 <br />OMNI TRAX <br />252 CLAYTON ST 4TH FLOOR <br />DENVER, CO 80206 <br />FACILITY FILE INFORMATION <br />CERS ID: 10673917 <br />Facility ID in CERS: FA0023458 <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 />FA0023458 <br />Facility name <br />STOCKTON TERMINAL & EASTERN RAILI <br />ST&E Weber Ave. Yard <br />Site address <br />0 WEBER AVE <br />Weber Ave <br />City <br />STOCKTON <br />Stockton <br />ZIP code <br />95205 <br />95205 <br />Facility phone <br />209-466-7001 <br />209-466-7001 <br />Facility mailing address 1330 N BROADWAY AVE <br />STOCKTON, CA 95205 <br />BILLING INFORMATION <br />Contact name OMNI TRAX <br />Address 252 CLAYTON ST 4TH FLOOR <br />DENVER, CO 80206 <br />Contact phone Not Specified <br />Contact email <br />Mail invoices to Account <br />1330 N. Broadway Ave. <br />Stockton, CA 95205 <br />Winston Deason <br />1330 N. Broadway Ave. <br />Stockton, CA 95205 <br />209-466-7001 <br />wdeason@omnitrax.com <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 />3 <br />103 <br />104 <br />105 <br />102 <br />108a <br />108b, 108c, 108d <br />140 <br />143 <br />144, 145, 146 <br />141 <br />142 <br />Please bill: [ ] full calendar year [ ] prorate this ndar year [ ] nextcalendaryear [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: % Date: �/' l� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[FWc e 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 PR0540984 HAZA SAEED Active [ ] [ ] <br />1963 - CaIARP PROGRAM 3 FACILITY PRO540983 RAYMOND VON FLUE Active [ ] [ ] <br />1995 - CaIARP FAC STATE SURCHARGE FEE PR0540985 RAYMOND VON FLUE Active [ ] [ ] <br />