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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 9/30/2015 <br />Submitted on: 9/18/2015 12:06:20PM CERS ID: 10484245 <br />Submitted by. Steven Taylor Email: staylor@sigmaconsult.com Facility ID in CERS: FA0022559 <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 />OW0020123 <br />7575 E Highway 4 <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 />308 S. Akard St., Room 1708 <br />308 S. Akard St., Room 1708 <br />113 <br />Facility phone <br />Dallas, CA 75202 <br />Dallas, CA 75202 <br />114, 115, 116 <br />Work phone <br />214-464-2626 <br />(214) 464-2626 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022559 <br />308 S. Akard St., Room 1708 <br />108a <br />Facility name <br />AT&T Mobility - HWY 4 -KAISER ROAD (476 <br />AT&T Mobility - HWY 4 -KAISER ROAD (U: <br />3 <br />Site address <br />7575 E HIGHWAY 4 <br />7575 E Highway 4 <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 />(800) 638-2822 <br />102 <br />Facility mailing address <br />308 S. Akard St., Room 1708 <br />308 S. Akard St., Room 1708 <br />108a <br />Dallas, TX 75202 <br />Dallas, TX 75202 <br />108b, 108c. 108d <br />BILLING INFORMATION <br />Contact name <br />AT&T Mobility Manager EH&S EPCRA <br />AT&T Mobility Manager EH&S EPCRA <br />140 <br />Address <br />5001 Executive Pkwy, RM 4W2001 <br />5001 Executive Pkwy, RM 4W2001 <br />143 <br />SAN RAMON, CA 94583 <br />SAN RAMON, CA 94583 <br />144, 145, 146 <br />Contact phone <br />214-464-2626 <br />(214) 464-2626 <br />141 <br />Contact email <br />g43573@att.com <br />g43573@att.com <br />142 <br />Mail invoices to <br />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 />1 � <br />Processed through CERS Integration Wizard by: Date: <br />Accounting: Reviewed by: 14J Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status Rea6tivated Inactivated <br />1926 - HMBP-Unstaffed Network Location PR0539454 MICHAEL PARISSI Inactive <br />