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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> ate run: 8/27/2018 <br /> Submitted on: 3/22/2018 8:12:24AMZcility <br /> ERS ID: 10676599 <br /> Submitted by: Ben Zamek Email: bzamek@sigmaconsult.com in CERS: FA0023798 <br /> Information prior to CIW processing Information a r CIW processing CERS <br /> OWNER INFORMATION (current EC database) (curr nt submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0022161 <br /> Owner name Pacific Bell Telephone Company dba AT&T( Pacific Bell elephone Company dba AT&T Ca 111 <br /> Mailing address 308 S. Akard St., 17th Floor 08 S. A rd St., 17th Floor 113 <br /> Dallas, TX 75202 Dallas, 75202 114, 115, 116 <br /> Work phone 214-464-1712 \ 4) 64-1712 112 <br /> FACILITY FILE INFORMATION \ <br /> Facility ID FA0023798 <br /> Facility name AT&T California - SKTNCA00075 AT&T California -SKTNCA00075 3 <br /> Site address 9300 N West Ln 9300 N West Ln 103 <br /> City Stockton r Stockton 104 <br /> ZIP code 95210 5210 105 <br /> Facility phone 209-603-9726 09) 603-9726 102 <br /> Facility mailing address 308 S. Akard St., 17th Flo 308 S. Akard St., 17th Floor 108a <br /> Dallas, TX 75202 Dallas, TX 75202 ioab, ioac,iosd <br /> BILLING INFORMATION <br /> Contact name AT&T EH&S - AT&T EH&S 140 <br /> Address 5001 Executive 4W20 5001 Executive Pkwy, RM 4W2001 143 <br /> San Ramon, C 58 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 214-464-1712 (214)464-1712 141 <br /> Contact email g43573@att.c g43573@att.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP QG [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permi APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar y ar [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integra on Wizard by: --"1 �` Date: Z7 'I <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct bill [ ] Surcharge verified By: Date: <br /> ACT VE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactiv ed Inactivated <br /> 1921 -HMBP-Regular-Primary Loc tion 1 chem units PR05441513 JAMIE LIMA , t Inactive [ ] <br /> VAIN "'r �� <br />