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SAN JOAQU OUNTY ENVIRONMENTAL HEALT EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 5/12/2015 <br /> CERS ID: 10415701 <br /> Submitted on: 1/15/2015 7:03:49PM <br /> Submitted by: Sheila Caballero Email: sheila.caballero@shawgrp.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> (current EC database) (current submittal) field <br /> OWNER INFORMATION <br /> Owner ID OW0020014 <br /> Owner name New Cingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T 13 <br /> Mailing address PO BOX 5095, ROOM 3E000 PO BOX 5095, RM 4W200 11a 115, 116 <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 112 <br /> Work phone 925-823-8954 9258238954 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022504 &T Mobility - <br /> Facility name AT&T Mobility- BEN HOLT(35516) AT <br /> 6844 Alexandria PI <br /> HOLT (35516) 103 <br /> Site address 6844 Alexandria PI 104 <br /> City Stockton Stockton 105 <br /> ZIP code 95207 95207 <br /> Facility phone 800-638-2822 8006382822 102 <br /> Facility mailing address PO BOX 5095, ROOM 3E000 PO BOX 5095, RM 4W200 108a <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 108b,108c,I08 <br /> BILLING INFORMATION 140 <br /> Contact name Claudette Altamirano Manager EH&S EPCRA 143 <br /> Address PO BOX 5095, ROOM 3E000 PO BOX 5095, RM 4W200 1aa, 145, las <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 <br /> Contact phone 925-823-8954 9258238954 141 <br /> Contact email CA696D@ATT.COM g43573@att.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: )PYO Date: <br /> __ -----/----- -- -- — -------- <br /> Accounting: Reviewed by: Date: <br /> !1 bf IS Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] gy: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PR0539358 HAZA SAEED Active, Exempt I I I I <br />