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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/5/2016 <br />Submitted on: 12/1/2016 10:12:15AM <br />Submitted by: Layheab Ly Email: layheab.ly@americantower.com <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 : 32 <br />OW0009900 <br />AMERICAN TOWERS - EH&S Dept. <br />10 Presidential Way <br />Woburn, MA 01801 <br />602-999-5139 <br />FACILITY FILE INFORMATION <br />CERS ID: 10405945 <br />Facility ID in CERS: FA0022103 <br />Information after CIW processing CERS <br />(current submittal) field <br />AMERICAN TOWERS - EH&S Dept. 111 <br />10 Presidential Way 113 <br />Woburn, MA 01801 114, 115, 116 <br />602-999-5139 112 <br />Facility ID <br />FA0022103 <br />Facility name <br />AMERICAN TOWERS - 1-5/HWY-205 JUNC <br />AMERICAN TOWERS - <br />1-5/HWY-205 JUNCTI 3 <br />Site address <br />1303 Toleri Rd <br />1303 TOLERI RD <br />103 <br />City <br />TRACY <br />TRACY <br />104 <br />ZIP code <br />95304 <br />95304 <br />105 <br />Facility phone <br />602-284-0280 <br />602-999-5139 <br />102 <br />Facility mailing address <br />10 Presidential Way <br />10 Presidential Way <br />108a <br />Woburn, MA 01801 <br />Woburn, MA 01801 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name <br />AMERICAN TOWERS - EH&S - SITE #833 <br />AMERICAN TOWERS - <br />EH&S - SITE #8337 - 140 <br />Address <br />10 Presidential Way <br />10 Presidential Way <br />143 <br />Woburn, MA 01821 <br />Woburn, MA 01821 <br />144, 145, 146 <br />Contact phone <br />602-284-0280 <br />602-999-5139 <br />141 <br />Contact email <br />scot.sandefur@americantower.com <br />Charmayne.Eriacho@americantower.corr 142 <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SOG HW [ ] LOG 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: <br />Date: �a S -1 u;' <br />Accounting: Reviewed by: tl) Date: 1-2j 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 />] 4 Record ID Employee name Status Reactivated Inactivated <br />1926 - HMBP-Remote Network Location Cycl ae i units PR0538243 PETER LOMBARDI Active [ ] [ J <br />