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SAN JOAQUIP COUNTY ENVIRONMENTAL HEALTHVEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/12/2015 <br /> Submitted on: 3/9/2015 12:49:47PM CERS ID: 10415419 <br /> Submitted by: Sheila Caballero Email: sheila.caballero@shawgrp.com Facility ID in CERS: FA0055499 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0020004 <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, ROOM 3E000 PO BOX 5095, RM 4W200 113 <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 114, 115, 116 <br /> Work phone 925-823-8954 9258238954 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022499 <br /> Facility name AT&T Mobility- LINDEN (9858) AT&T Mobility- LINDEN (9858) 3 <br /> Site address 5252 N ESCALON BELLOTA RD 5252 NORTH ESCALON BELLOTA ROAD 103 <br /> City LINDEN LINDEN 104 <br /> ZIP code 95236 95236 105 <br /> Facility phone 800-638-2822 8006382822 102 <br /> Facility mailing address PO BOX 5095, ROOM 3E000 PO BOX 5095, RM 4W200 108a <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 108b,108c,1084 <br /> BILLING INFORMATION <br /> Contact name Claudette Altamirano Manager EH&S EPCRA 140 <br /> Address PO BOX 5095, ROOM 3E000 PO BOX 5095, RM 4W200 143 <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 144, 145, 146 <br /> Contact phone 925-823-8954 9258238954 141 <br /> Contact email CA696D@ATT.COM 843573@att.com 142 <br /> Mail invoices to Facility <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 [ j next calendar year ( ] exempt from billing <br /> Processed through CERS Integration Wizard by: <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ j Relabel file [ ] Create new file <br /> h�13�15 <br /> [ ] Acct billed I j 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 /> 1926-HMBP-Unstaffed Network Location PR0539353 JAMIE DE LA ROSA Active, Exempt I I I I <br />