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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/15/2015 <br /> Submitted on: 1/13/2015 1:06:43PM CERS ID: 10207009 <br /> Submitted by: Gina Pimentel Email: gina.pimentel@stantec.com Facility ID in CERS: FA0009872 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0011475 <br /> Owner name Pacific Bell Telephone Company dba AT&T( Pacific Bell Telephone Company dba AT&T( 111 <br /> Mailing address 2600 Camino Ramon, Room 3E000 308 S.Akard Street, Room 1708 113 <br /> San Ramon, CA 94583 Dallas,TX 75202 114, 115, 116 <br /> Work phone 925-823-0725 214-464-2626 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0009872 <br /> Facility name AT&T California- UE018 AT&T California- UE018 3 <br /> Site address 13585 E HWY 88 13585 E Highway 88 103 <br /> City Lockeford Lockeford 104 <br /> ZIP code 95237 95237 105 <br /> Facility phone 209-474-4022 (209)474-4022 102 <br /> Facility mailing address 2600 Camino Ramon, Rm 3E000 308 S.Akard Street, Room 1708 108a <br /> San Ramon, CA 94583 Dallas, TX 75202 108b,1080,108d <br /> BILLING INFORMATION <br /> Contact name AT&T EH&S AT&T EH&S 140 <br /> Address PO BOX 5095, RM 3E000 2600 Camino Ramon, Room 4W200L 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 925-823-0725 214-464-2626 141 <br /> Contact email cc6561@att.c9 mp0873@att.com 142 <br /> Mail invoices to Account <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 [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: —/ Date: I • ( 7't <br /> ---- ----------- --- - <br /> Accounting: Reviewed by: � Date: Clerical: [ ] File [ ] Relabel file [ ] 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 Inactivated <br /> 1926-HMBP-Unstaffed Network Location PR0512160 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0539193 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0509872 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PR0528921 ARIS VELOSO Inactive [ ] [ ] <br />