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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/24/2015 <br /> Submitted on: 4/20/2015 1:56:38PM CERS ID: 10063351 <br /> Submitted by: Steve Skanderson Email: steve.skanderson@stantec.com Facility ID in CERS: FA0003657 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002727 <br /> Owner name AT&T CORP AT&T Corp. 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 FA0003657 <br /> Facility name AT&T CORP- UE231 AT&T CORP- UE231 3 <br /> Site address J110 W TURNER RD 110 W Turner Rd 103 <br /> City LODI Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 209-474-4022 209-474-4022 102 <br /> Facility mailing address 308 S. Akard Street, Room 1708 308 S. Akard Street, Room 1708 108a <br /> Dallas, TX 75202 Dallas, TX 75202 108b,mac,load <br /> BILLING INFORMATION <br /> Contact name AT&T EH&S AT&T EH&S 140 <br /> Address 2600 Camino Ramon, Room 4W200L 5001 Executive Parkway, Room 4W200W 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 214-464-2626 214-464-2626 141 <br /> Contact email mp0873@att.com mp0873@att.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG 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 calendar year [ ] next calendar year ( ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: (A' 1�'l• t <br /> ---- — — ----- ---- —[� ---- <br /> Accounting. Reviewed by: Date:�AZ-7/» Clerical: 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 PR0521260 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0527263 ARIS VELOSO Active [ ] [ ] <br /> 2361 -UST FACILITY PR0231741 ARIS VELOSO Active [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PR0507686 ARIS VELOSO Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0506661 FATINAH ZAREEF Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0532832 not assigned Inactive [ ] [ ] <br />