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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 12/1/2016 <br />Submitted on: 11/10/2016 8:39:19AM CERS ID: 10415380 <br />Submitted by: David Jean Email: djean@sigmaconsult.com Facility ID in CERS: FA0010797 <br />Information prior to CIW processing Information after CIW processing CERS <br />OWNER INFORMATION (current EC database) (current submittal) field <br />Number of Facilities for this Owner : 36 <br />Owner ID OW0008527 <br />Owner name New Cingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T M 111 <br />Mailing address 308 S. Akard St., Room 1708 308 S. Akard St., Room 1708 113 <br />Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br />Work phone 214-464-5226 (214) 464-5226 112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010797 <br />Facility name <br />AT&T Mobility - HARNEY - <br />HWY 99 (USID9� AT&T Mobility - HARNEY - HWY 99 (USID982' <br />3 <br />Site address <br />14320 N Beckman Rd <br />14320 N Beckman Rd <br />103 <br />City <br />Lodi <br />Lodi <br />104 <br />ZIP code <br />95240 <br />95240 <br />105 <br />Facility phone <br />800-638-2822 <br />(800) 638-2822 <br />102 <br />Facility mailing address 308 S. Akard St., Room 1708 <br />Dallas, TX 75202 <br />BILLING INFORMATION <br />Contact name AT&T Mobility Manager EH&S EPCRA <br />Address 5001 Executive Pkwy, RM 4W2001 <br />San Ramon, CA 94583 <br />Contact phone 214-464-2626 <br />Contact email g43573@att.com <br />Mail invoices to Account <br />308 S. Akard St., Room 1708 108a <br />Dallas, TX 75202 108b, 108c, 108d <br />AT&T Mobility Manager EH&S EPCRA 140 <br />5001 Executive Pkwy, Rm 4W2001 143 <br />San Ramon, CA 94583 144, 145, 146 <br />(214) 464-5226 141 <br />g43573@att.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP (] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate 'this (Icalendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: Date: �a •l • 1 b <br />Accounting: Reviewed by: Date: / Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />P Record ID Employee name Status Reactivated Inactivated <br />1�6 - HMBP-Remote Network LocationXchem units PR0513085 JAMIE LIMA Active [ ] [ ] <br />2226 - CaIARP PROGRAM PRO514867 HAZ MAT SJC OES Inactive [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510797 HAZ MAT SJC OES Inactive [ ] [ ] <br />