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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/1 512 0 1 5 <br /> Submitted on: 1/12/2015 10:33:26AM CERS ID: 10207021 <br /> Submitted by: Gina Pimentel Email: gina.pimentel@stantec.com Facility ID in CERS: FA0003968 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002917 <br /> Owner name Pacific Bell Telephone Company dba AT&T( Pacific Bell Telephone Company dba AT&T( 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 FA0003968 <br /> Facility name AT&T California-UE046 AT&T California- UE046 3 <br /> Site address 907 W Lincoln Rd 907 W Lincoln Rd 103 <br /> City Stockton Stockton 104 <br /> ZIP code 95207 95207 105 <br /> Facility phone 925-823-0725 925-823-0725 <br /> 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, 108c 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.co mp0873@att.com 142 <br /> Mail invoices to Fad(Iityp <br /> Program record [ ] HMBJJP [ ] 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 1calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: WN Date: <br /> -------------------------------------- ---------- <br /> Accounting: Reviewed by: Date: 11 r Clerical: �j 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 /> 1921 -HMBP-Regular-Primary Location PRO519883 HAZA SAEED Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PRO524515 FATINAH ZAREEF Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231871 FATINAH ZAREEF Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO506740 MICHAEL KITH Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0531403 not assigned Inactive [ ] [ ] <br />