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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/9/2018 <br />Submitted on: 1/19/2018 9:17:19AM <br />Submitted by: William Barney Email: williambarney@iheartmedia.com <br />CERS ID: 10443643 <br />Facility ID in CERS: FA0022509 <br />Facility 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 />Facility phone <br />Number of Facilities for this Owner: 1 <br />Contact phone <br />210-253-4570 <br />Owner ID <br />OW0020031 <br />Mail invoices to <br />Account <br />Owner name <br />iHeartCommunications, Inc. <br />iHeartCommunications, Inc. <br />111 <br />Mailing address <br />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 <br />918-664-4581 <br />918-664-4581 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022509 <br />Facility name <br />iHeartMedia Brady Road <br />Site address <br />8911 Brady Rd <br />City <br />Manteca <br />ZIP code <br />95337 <br />Facility phone <br />209-551-1306 <br />Facility mailing address <br />2121 Lancey Drive, Suite1 <br />8911 Brady Rd <br />Modesto, CA <br />BILLING INFORMATION <br />104 <br />Contact name <br />iHeartMedia AP Dept # 252 <br />Address <br />20880 Stone Oak Parkway <br />San Antonio, TX 9535578258 <br />Contact phone <br />210-253-4570 <br />Contact email <br />APHelpdesk@iheartmedia.com <br />Mail invoices to <br />Account <br />iHeartMedia Brady Road <br />3 <br />8911 Brady Rd <br />103 <br />Manteca <br />104 <br />95337 <br />105 <br />209-551-1306 <br />102 <br />2121 Lancey Drive, Suite1 108a <br />Modesto, CA 108b, 108c, 108d <br />iHeartMedia AP Dept # 252 <br />140 <br />20880 Stone Oak Parkway <br />143 <br />San Antonio, TX 9535578258 <br />144, 145, 146 <br />210-253-4570 <br />141 <br />APHelpdesk@iheartmedia.com <br />142 <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 />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: /2' �a Date: �-q-vj <br />Accounting: Reviewed by: _ �6 Date: q11011 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 />Record ID Employee name Status Reactivated Inactivated <br />1920 - HMBP-Common Materials 1 chem units PR0539373 NICHOLAS LOEHRER Active I I I I <br />