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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/30/2015 <br /> Submitted on: 12/30/2015 8:05:08AM CERS ID: 10063348 <br /> Submitted by: Mike Larow Email: ml216w@att.com Facility ID in CERS: FA0010181 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 2 <br /> Owner ID OW0008177 <br /> Owner name AT&T Corp. AT&T Corp. 111 <br /> Mailing address 308 S. Akard Street, Room 1708 308 S. Akard Street, Room 1708 113 <br /> Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br /> Work phone 214-464-2626 214-464-2626 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010181 <br /> Facility name AT&T CORP- CAK478 AT&T CORP-CAK478 3 <br /> Site address 14343 N Davis Rd 14343 N Davis Rd 103 <br /> City Lodi Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-474-4022 209-474-4022 102 <br /> Facility mailing address 308 S. Akard Street, Room 1708 308 S. Akard Street, Room 1708 108a <br /> Dallas, TX 75202 Dallas, TX 75202 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name AT&T EH&S AT&T EH&S 140 <br /> Address 5001 Executive Parkway, Room 4W200W 5001 Executive Pkwy, RM 4W2001 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 214-464-2626 214-464-2626 141 <br /> Contact email mp0873@att.com g43573@att.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ j LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ j exempt from billing <br /> Processed through CERS Integration Wizard by: VA Date: <br /> --------------- <br /> Accounting: Reviewed by: Date: )) 3o I S Clerical: [ ] File Relabel file <br /> [ ] [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ---------------------------- <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactiv ed <br /> 1926-HMBP-Unstaffed Network Location PRO512469 JAMIE DE LA ROSA Active [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510181 HAZ MAT SJC OES Inactive [ ] [ ] <br /> U old- CV--k A <br />