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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/26/2017 <br />Submitted on: 5/23/2017 12:16:02PM <br />Submitted by: Heather Miklos Email: hm797a@att.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: 12 <br />OW0002917 <br />Pacific Bell Telephone Company dba AT&T <br />308 S. Akard St., 17th Floor <br />Dallas, TX 75202 <br />214-741-0460 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0003946 <br />Facility name <br />AT&T CALIFORNIA- UG010 <br />Site address <br />1812COLEYAVE <br />City <br />ESCALON <br />ZIP code <br />95320 <br />Facility phone <br />800-335-6088 <br />Facility mailing address 308 S. Akard St., 17th Floor <br />CERS ID: 10181541 <br />Facility ID in CERS: FA0003946 <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Bell Telephone Company dba AT&T Cal 111 <br />308 S. Akard St., 17th Floor 113 <br />Dallas, TX 75202 114, 115, 116 <br />(214) 741-0460 112 <br />AT&T California - UG010 <br />Dallas, TX 75202 <br />BILLING INFORMATION <br />103 <br />Contact name <br />AT&T EH&S <br />Address <br />PO BOX 5095 ROOM 4W200L <br />(800)335-6088 <br />San Ramon, CA 94583 <br />Contact phone <br />214-741-0460 <br />Contact email <br />g43573@att.com <br />Mail invoices to <br />Account <br />CERS ID: 10181541 <br />Facility ID in CERS: FA0003946 <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Bell Telephone Company dba AT&T Cal 111 <br />308 S. Akard St., 17th Floor 113 <br />Dallas, TX 75202 114, 115, 116 <br />(214) 741-0460 112 <br />AT&T California - UG010 <br />3 <br />1812 COLEY AVE <br />103 <br />ESCALON <br />104 <br />95320 <br />105 <br />(800)335-6088 <br />102 <br />308 S. Akard St., 17th Floor <br />108a <br />Dallas, TX 75202 <br />108b, 108c, 108d <br />AT&T EH&S 140 <br />5001 Executive Pkwy, RM 4W2001 143 <br />San Ramon, CA 94583 144, 145, 146 <br />(214)741-0460 141 <br />g43573@att.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 year [ ] <br />next calendar year [ <br />] exempt from billing <br />calendar <br />Processed through CERS Integration Wizard by: r' Z7W- I Date: <br />5 2-1 <br />Accounting: Reviewed by: Date: k — 11 Clerical: <br />[ ] File [ ] Relabel <br />file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified <br />By: <br />Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name <br />Status <br />Reactivated Inactivated <br />1;�1921 - HMBP-Regular-Primary Location 2 chem units PRO512014 NICHOLAS LOEHRER Active <br />[ ] [ ] <br />2220- SM HW GEN <5 TONSNR PR0518889� JOHNALANIZ <br />Active <br />2371 - UST FACILITY - 1702 COMPLIANT PR0231881✓ JOHN ALANIZ <br />Active <br />[ ] [ ] <br />2226 - CaIARP PROGRAM PR0514660 HAZ MAT SJC DES <br />Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0507539 MUNIAPPA NAIDU <br />Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PRO533276 not assigned <br />Inactive <br />[ ] [ ] <br />