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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 212012015 <br /> Submitted on: 1/1212015 1:57:34PM CERS ID: 10183065 <br /> Submitted by: Gina Pimentel Email: gina.pimentel@stantec.com Facility 1D in CERS: FA0009955 <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 Pacific Bell Telephone Company dba AT& 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 FA0009955 <br /> Facility name AT&T California - UF053 AT&T California -- UE053 3 <br /> Site address 8499 W OAK ST 8499 W OAK ST 103 <br /> City THORNTON THORNTON 104 <br /> ZIP code 95686 95686 105 <br /> Facility phone 925-823-0725 925-823-0725 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 108e, 108c.10ad <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.com mp0873@att.com 142 <br /> Mail invoices to -F�— f� <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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: �k5 <br /> Accounting: Reviewed by: Date: 3 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 nam_e_ Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PRO509955 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HVV GEN <5 TONS/YR PRO535426 ARIS VELOSO Actuve [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528922 ARIS VELOSO Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR053597a not assigned Inactive [ ] [ ] <br />