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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/17/2017 <br />Submitted on: 1/11/2017 5:22:23AM CERS ID: 10181541 <br />Submitted by: Mike Larow Email: ml216w@att.com Facility ID in CERS: FA0003946 <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: 12 <br />OW0002917 <br />Pacific Bell Telephone Company dba AT&T <br />308 S. Akard Street, 17th Floor <br />Dallas, TX 75202 <br />214-741-0460 <br />FACILITY FILE INFORMATION <br />Information after CIW processing CERS <br />(current submittal) field <br />Pacific Bell Telephone Company dba AT&T Ca 111 <br />308 S. Akard St., 17th Floor 113 <br />Dallas, TX 75202 114, 115, 116 <br />(214)741-0460 112 <br />Facility ID <br />FA0003946 <br />Address <br />5001 Executive Pkwy, RM 4W2001 <br />Facility name <br />AT&T California - UG010 <br />AT&T California - UG010 <br />3 <br />Site address <br />1812 COLEY AVE <br />1812 COLEY AVE <br />103 <br />City <br />ESCALON <br />ESCALON <br />104 <br />ZIP code <br />95320 <br />95320 <br />105 <br />Facility phone <br />925-823-0725 <br />(800)335-6088 <br />102 <br />Facility mailing address 308 S. Akard Street, Room 1708 <br />Dallas, TX 75202 <br />BILLING INFORMATION <br />Contact name <br />AT&T EH&S <br />Address <br />5001 Executive Pkwy, RM 4W2001 <br />NICHOLAS LOEHRER <br />San Ramon, CA 94583 <br />Contact phone <br />214-464-2626 <br />Contact email <br />g43573@att.com <br />Mail invoices to <br />Account <br />Program record [ ] HMBP [ ] SQG HW <br />created [ ] Tiered permit [ ] APSA <br />308 S. Akard St., 17th Floor 108a <br />Dallas, TX 75202�) 108b,108c, coed <br />�,M'}N'J' q, <br />v \--1�]-0 1- OP140 <br />5001 Executive Pkwy, RM 4W2001y _tUk 143 <br />San Ramon, CA 94583 ���4a, 145.146 <br />(214) 741-0460 �S 141 <br />g43573@att.com 142 <br />[ ] LQG HW [ ] RCRA HW New PR#: <br />[ ] CalARP [ ] UST New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this cplendar year [ ] next calendar year [ ] exempt from billing <br />%N4j <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: W Date: [ -:20I! Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />tet" 'L, <br />1*6 - HMBP-Remote Network Location Vchem Unita <br />2220 - SM HIN GEN <5 TONSIYR <br />2371 - UST FACILITY - 1702 COMPLIANT <br />2226 - CaIARP PROGRAM <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI <br />Record ID <br />Employee name <br />Status Reactivated Inactivated <br />PRO512014 <br />NICHOLAS LOEHRER <br />Active [ ] [ ] <br />PRO518889 <br />ELENA MANZO <br />Active [ ] [ ] <br />PR0231881 <br />ELENAMANZO <br />Active [ ] [ ] <br />PRO514660 <br />HAZ MAT SJC DES <br />Inactive [ ] [ ] <br />PR0507539 <br />MUNIAPPA NAIDU <br />Inactive [ ] [ ] <br />PR0533276 <br />not assigned <br />Inactive [ ] [ ] <br />