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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 1/18/2018 <br /> Submitted on: 11/11/2017 7:32:31PM CERS ID: 10415404 <br /> Submitted by: Steve Taylor Email: st043d@att.com Facility ]Din CERS: FA0010567 <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., 17th Floor 308 S. Akard St., 17th Floor 113 <br /> Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br /> Work phone 214-464-1712 (214) 464-1712 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010567 <br /> Facility name AT&T Mobility-WOODBRIDGE (USID9837; AT&T Mobility-WOODBRIDGE (USID9837) 3 <br /> Site address 22123 N DEVRIES RD 22123 N Devries Rd 103 <br /> City LODI Lodi 104 <br /> ZIP code 95242 95242 105 <br /> Facility phone 800-638-2822 (800) 638-2822 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,1084 <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)464-1712 141 <br /> Contact email g43573@att.com g43573@att.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP SQG HW [ ] LOG HW [ ] RCRAHW New PR#: O5 Zri <br /> created [ ] Tiered permit [ ] APSA [ ] Ca1ARP [ ] UST New PE: a;)LJ <br /> Assigned to: HuAn <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: 1" P--2—Date: 1 _18–ig <br /> A <br /> Accounting: Rev ed by: 1/11� Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ Acct billed By: _ Date_ <br /> ACTIVE PROGRAM RECORDS PRIOR O PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PR0539159 JAMIE LIMA Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PRO512855 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510567 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 0", Per <br /> W430 ' 4]5 <br />