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SAN JOAQUIkLOUNTY ENVIRONMENTAL HEALTF�Ti'EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/30/2014 <br /> Submitted on: 2/13/2013 2:01:53PM CERS ID: 10183905 <br /> Submitted by: Duane Wolfe Email: duane.wolfe@usamobility.com Facility ID in CERS: FA0010883 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008883 <br /> Owner name USA MOBILITY USA MOBILITY 111 <br /> Mailing address 3000 TECHNOLOGY DR, STE 400 6850 Versar Center 113 <br /> PLANO, TX 75074 Springfield, VA 22151 114, 115, 116 <br /> Work phone 800-611-8488 800-989-1296 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010883 <br /> Facility name USA MOBILITY USA MOBILITY 3 <br /> Site address 4211 CORONADO AVE STE A 4211 CORONADO AVE STE A 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95204 95204 105 <br /> Facility phone 800-468-3908 800-989-1296 102 <br /> Facility mailing address 3000 TECHNOLOGY DR STE 400 4211 E CORONADO AVE 108a <br /> PLANO, TX 75074 STOCKTON, CA 95204 108b,10ac,108d <br /> BILLING INFORMATION <br /> Contact name USA MOBILITY USA MOBILITY 140 <br /> Address 3000 TECHNOLOGY DR STE 400 4211 E CORONADO AVE 143 <br /> PLANO, TX 75074 STOCKTON, CA 95204 144, 145, 146 <br /> Contact phoneNot Specified 800-989-1296 141 <br /> Contact email 142 <br /> Mail invoices to O ner <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 [ j prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: <br /> Accounting: Reviewed by: Date: /�//� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Ac illed [ ] Surc�l are ve ified!_ __ ____ 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 PR0520533 ROBERT LOPEZ Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510883 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE F PR0534273 not assigned Inactive [ ] [ ] <br />