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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/31/2015 <br /> Submitted on: 12/31/2015 7:41:41AM CERS ID: 10613365 <br /> Submitted by: Mike Larow Email: ml216w@att.com Facility ID in CERS: incorrect <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 PO BOX 5095, RM 4W200 308 S.Akard St., Room 1708 113 <br /> SAN RAMON, CA 94583 Dallas, TX 75202 114, 115, 116 <br /> Work phone 925-823-8954 (214) 464-2626 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022774 <br /> Facility name AT&T Mobility- HWY 132-S BIRD ROAD (4; AT&T Mobility - HWY 132-S BIRD ROAD (I 3 <br /> Site address 33856 S Bevis Rd 33856 S 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 PO BOX 5095, RM 4W200 308 S. Akard St., Room 1708 108a <br /> SAN RAMON, CA 94583 Dallas, TX 75202 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name AT&T MOBILITY AT&T Mobility Manager EH&S EPCRA 140 <br /> Address PO BOX 5095, RM 4W200 5001 Executive Pkwy, RM 4W2001 143 <br /> SAN RAMON, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 925-823-8954 (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 [ ] CaIARP [ j 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: Va� Date: t-,5(' t <br /> -------------------------------------------------- <br /> Accounting: Reviewed by: 14� Date: 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 [ ] [ ] <br />