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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 7/27/2016 <br /> Submitted on: 7/20/2016 11:30:08AM CERS ID: 10613365 <br /> Submitted by: David Jean Email: djean@sigmaconsult.com Facility ID in CERS: FA0022774 <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: 1 <br /> Owner ID OW0020610 <br /> Owner name New Cingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T 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 214-464-2626 (214)464-2626 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022774 <br /> Facility name AT&T Mobility- HWY 132-S BIRD ROAD (U AT&T Mobility-(USID47482) 3 <br /> Site address 33856 S Bevis Rd 33832 Bevis Rd 103 <br /> City Tracy Tracy 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 800-638-2822 8006382822 102 <br /> Facility mailing address 308 S. Akard St., Room 1708 308 S. Akard St., Room 1708 108a <br /> Dallas, TX 75202 Dallas, TX 75202 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name AT&T Mobility Manager EH&S EPCRA AT&T Mobility Manager EH&S EPCRA 140 <br /> Address 5001 Executive Pkwy, RM 4W2001 5001 Executive Pkwy, RM 4W2001 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 g43573@att.com g43573@att.com 142 <br /> Mail invoices to Account <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: Date: �7fz7�ItP <br /> — ------------------ — ------------- ---- --- --- <br /> Accounting: Reviewed by:7V Date: u l 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 PR0539814 PETER LOMBARDI Active I I I I <br />