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BUSINESS OWNER/OPERATOR IDENTIFICATION FORM <br />7/16/2008 11 Account #: 12780 <br />I. IDENTIFICATION <br />BUSINESS NAME (4) IAT&T MOBILITY-STKN AIRPORT BUSINESS PHONE (5) 1800-638-2822 <br />SITE ADDRESS (6) 19158/ S❑ AIRPORT/ WAY <br />Street No. Direction Street Name Street Type A )t/BI 11_'/Suitt <br />CITY (7) FRENCH CAMP--*' STATE (8) CA ZIP (9) 195231 --' <br />DUN & <br />BRADSTREET <br />OPERATOR <br />NAME <br />(10) 10-202-6754 SIC CODE (4 DIGIT #) (11) 4812 <br />(12)IAT&T MOBILTY I OPERATOR PHONE (13)1916-285-4201 <br />II. BUSINESS OWNER <br />OWNER NAME (14) CINGULAR & NEW CINGULAR I OWNER PHONE (15) 916-285-4201 <br />DBA AT&T MOBILITY <br />OWNER MAILING ADDRESS (16) 3851 N. FREEWAY BLVD. <br />(If different from site address) <br />CITY (17) SACRAMENTO STATE (18) CA ZIP (19) 95834 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) 1EH&S - JESSICA NIELSEN CONTACT PHONE (21) 916-285-4201 <br />MAILING ADDRESS (22) <br />(If different from site address) 13851 N FREEWAY BLVD <br />CITY (23) (SACRAMENTO <br />IV. <br />NAME (26) IELLEN MAGNIE <br />TITLE (27) (COMPLIANCE MANAGER <br />BUSINESS PHONE (28)1510-305-2553 <br />24-HOUR PHONE (29) 800-631 <br />PAGER # (30) 510-305-2553 <br />Street Name <br />STATE (24) <br />NAME (3 1) <br />TITLE (32) <br />BUSINESS PHONE (33) <br />Street T <br />ZIP (25) <br />ABAWI <br />ANALYST II <br />24-HOUR PHONE (34) 800-638 <br />PAGER # (35) 925-286-3207 <br />EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br />ON-SITE EHS (36) YES I If yes, and above Threshold Planning Quantities, attach a sheet of paper with a general <br />description of the process and principle equipment involved with the EHS. <br />ADDITIONAL LOCALLY COLLECTED INFORMATION (37) Provide information requested on the 2nd page of this form <br />NAME OF DOCUMENT PREPARER (38) ISTANTEC CONSULTING INC. <br />NAME OF OWNER/OPERATOR (39) NEW CINGULAR WIRELESS DATE (40) <br />PCS, LLC DBA AT&T <br />