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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/25/2017 <br /> Submitted on: 3/28/2017 3:11:35AM 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 M 111 <br /> Mailing address 308 S. Akard St., Room 1708 308 S.Akard St., 17th Floor 113 <br /> Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br /> Work phone 214-464-5226 (214) 741-0630 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022774 <br /> Facility name AT&T MOBILITY USID47482 AT&T Mobility - (USID47482) 3 <br /> Site address 33844 BEVIS RD 33844 Bevis Rd 103 <br /> City TRACY Tracy 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 800-638-2822 (800) 566-9347 102 <br /> Facility mailing address 308 S. Akard St., Room 1708 308 S.Akard St., 17th Floor 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 214-464-5226 (214) 741-0630 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. 066 Azz— Date: 9- 2,5-17 <br /> ------------ ------ - - ----- - - - ----- <br /> Accounting: Reviewed by: Je6 Date: �� 7 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ LAccLbilled [ ] Surcharge�cerified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 1 chem units PR0539814 NICHOLAS LOEHRER Active [ ] [ 1 <br />