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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 8/1/2018 <br />Submitted on: 1/19/2018 10:41:46AM CERS ID: 10443781 <br />Submitted by: William Barney Email: williambarney@iheartmedia.com Facility ID in CERS: FA0010346 <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 : 1 <br />OW0008346 <br />iHeartCommunications, Inc. <br />2625 S. Memorial Drive, Ste. A <br />Tulsa, OK 74129 <br />918-664-4581 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010346 <br />Facility name <br />iHeartMedia 1280 KWSX AM <br />Site address <br />5451 E HARDING WAY <br />City <br />Stockton <br />ZIP code <br />95215 <br />Facility phone <br />209-551-1306 <br />Facility mailing address <br />2121 Lancey Drive, Suite1 <br />Modesto, CA 95355 <br />BILLING INFORMATION <br />Contact name <br />iHeartMedia AP Dept # 252 <br />Address <br />20880 Stone Oak Parkway <br />San Antonio, TX 95355-7825 <br />Contact phone <br />210-253-4570 <br />Contact email <br />APHelpdesk@iheartmedia.com <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />iHeartCommunications, Inc. 111 <br />7136 S Yale Ave Suite 501 113 <br />Tulsa, OK 74136 114, 115, 116 <br />918-664-4581 112 <br />iHeartMedia 1280 KWSX AM <br />3 <br />5451 E Harding Way <br />103 <br />Stockton <br />104 <br />95215 <br />105 <br />(209) 551-1306 <br />102 <br />2121 Lancey Drive, Suite1 <br />108a <br />Modesto, CA 95355 <br />108b, 108c, 108d <br />iHeartMedia AP Dept # 252 <br />140 <br />20880 Stone Oak Parkway <br />143 <br />San Antonio, TX 95355-7825 <br />144, 145, 146 <br />210) 253-4570 <br />141 <br />APHelpdesk@iheartmedia.com <br />142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />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: ��f� Date: <br />---------------- <br />Accounting: Reviewed by: Date: g(I��I� Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1920 - HMBP-Common Materials 1 chem units PR0539213 JAMIE LIMA Active [ ] [ ] <br />2224 - HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512634 HAZ MAT SJC OES Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510346 HAZ MAT SJC OES Inactive [ ] [ ] <br />