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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/1/2018 <br />Submitted on: 1/19/2018 10:38:49AM <br />Submitted by: William Barney Email: williambarney@iheartmedia.com <br />CERS ID: 10443721 <br />Facility ID in CERS: FA0022510 <br />Information prior to CIW processing/ <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION(current EC database) / <br />(current submittal) <br />field <br />Number of Facilities for this Owner : 1 ✓✓✓ <br />Owner ID OW0020032 <br />Owner name iHeartCommunications, Inc. <br />iHeartCommunications, Inc. <br />111 <br />Mailing address 2625 S. Memorial Drive, Ste. A <br />7136 S Yale Ave Suite 501 <br />113 <br />Tulsa, OK 74129 <br />Tulsa, OK 74136 <br />114, 115, 116 <br />Work phone 918-664-4581 <br />(918) 664-4581 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0022510 <br />Facility name iHeartmedia Alpine Road <br />iHeartmedia Alpine Road <br />3 <br />Site address 2701 N Alpine Rd <br />2701 N Alpine Rd <br />103 <br />City Stockton <br />Stockton <br />104 <br />ZIP code 95215 <br />95215 <br />105 <br />Facility phone 209-551-1306 <br />209-551-1306 <br />102 <br />Facility mailing address 2121 Lancey Drive, Suite 1 <br />2121 Lancey Drive, Suite 1 <br />108a <br />Modesto, CA 95355 <br />Modesto, CA 95355 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name iHeartMedia AP Dept # 252 <br />iHeartMedia AP Dept # 252 <br />140 <br />Address 20880 Stone Oak Parkway <br />20880 Stone Oak Parkway <br />143 <br />San Antonio, TX 78258-7460 <br />San Antonio, TX 78258-7460 <br />144, 145, 146 <br />Contact phone 209-551-1306 <br />209-551-1306 <br />141 <br />Contact email APHelpdesk@iheartmedia.com <br />APHelpdesk@iheartmedia.com <br />142 <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] <br />RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] <br />UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar yearn <br />ext calendar year [ ] exempt from billing <br />G` 4r-' <br />OV-) (�2, j <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: Date: 9/11 Clerical: <br />[ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated <br />Inactivated <br />1920 - HMBP-Common Materials 1 chem units PR0539374 JAMIE LIMA <br />Active I I <br />I I <br />