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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 9/28/2015 <br /> Submitted on: 9/24/2015 10:10:08AM CERS ID: 10630189 <br /> Submitted by: Jennifer Ruth Email: jennifer.ruth@americantower.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0020987 <br /> Owner name AMERICAN TOWERS AMERICAN TOWERS - EH&S Dept. 111 <br /> Mailing address P.O. BOX 63604 10 Presidential Way 113 <br /> PHOENIX, AZ 85082 Woburn, MA 01801 114, 115, 116 <br /> Work phone 602-284-0280 (602) 284-0280 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022965 <br /> Facility name AMERICAN TOWERS- LOCKEFORD CA- : AMERICAN TOWERS- LOCKEFORD CA- E 3 <br /> Site address 14700 E STATE RTE 88 14700 E State Rte 88 103 <br /> City Lockeford Lockeford 104 <br /> ZIP code 95237 95237 105 <br /> Facility phone 602-284-0280 (602) 284-0280 102 <br /> Facility mailing address P.O. BOX 63604 10 Presidential Way 108a <br /> PHOENIX, AZ 85082 Woburn, MA 01801 108b, 108c, 108d <br /> BILLING INFORMATION <br /> Contact name AMERICAN TOWERS- LOCKEFORD CA- : AMERICAN TOWERS - EH&S - SITE #830: 140 <br /> Address P.O. BOX 63604 10 Presidential Way 143 <br /> PHOENIX, AZ 85082 Woburn, MA 01801 144, 145, 146 <br /> Contact phone 602-284-0280 (602) 284-0280 141 <br /> Contact email scot.sandefur@americantower.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] 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 [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: l r' Date: <br /> —� <br /> Accounting: Reviewed by: tel <br /> � /�) Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <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 PR0540168 JAMIE DE LA ROSA Active I I I I <br />