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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/14/2015 <br />Submitted on: 9/8/2015 9:05:26AM CERS ID: 10479937 <br />Submitted by: Steven Taylor Email: staylor@sigmaconsult.com Facility ID in CERS: incorrect <br />FACILITY FILE INFORMATION <br />Facility ID <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0020111 <br />6844 E Fairchild Rd <br />103 <br />Owner name <br />New Cingular Wireless PCS, LLC dba AT&T <br />New Cingular Wireless PCS, LLC dba AT&T <br />111 <br />Mailing address <br />PO BOX 5095, ROOM 3E000 <br />308 S. Akard St., Room 1708 <br />113 <br />Facility phone <br />SAN RAMON, CA 94583 <br />Dallas, TX 75202 <br />114, 115, 116 <br />Work phone <br />925-823-8954 <br />214-464-2626 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022553 <br />Facility name <br />AT&T Mobility - HWY 88 - EAST FAIRCHILE <br />AT&T Mobility - HWY 88 - EAST FAIRCHIL <br />3 <br />Site address <br />6844 E Fairchild Rd <br />6844 E Fairchild Rd <br />103 <br />City <br />Stockton <br />Stockton <br />104 <br />ZIP code <br />95215 <br />95215 <br />105 <br />Facility phone <br />800-638-2822 <br />8006382822 <br />102 <br />Facility mailing address <br />PO BOX 5095, ROOM 3E000 <br />308 S. Akard St., Room 1708 <br />108a <br />SAN RAMON, CA 94583 <br />Dallas, TX 75202 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name Claudette Altamirano AT&T Mobility Manager EH&S EPCRA 140 <br />Address PO BOX 5095, ROOM 3E000 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 CA6�6D@ATT.COM g43573@att.com 142 <br />Mail invoices to Facility I.,, <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: I I `� <br />Accounting: Reviewed by: L1 Dater 9 liqi 1J Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />�( 1 Arr_t hillari f 1 Giirrharye verified By: Date: <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 PR0539448 JAMIE DE LA ROSA Active, Exempt I I I I <br />