Laserfiche WebLink
RECEIVED <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />MAY <br />FACILITY INFORMATION 2 120 <br />BUSINESS OWNER/OPERATOR IDENTIFICATION <br />05/05/2009 - 08:29:33 AM SAN JOAQU <br />6R <br />I. IDENTIFICATION <br />FACILITY ID# 13758 I I <br />BEGINNING DATE N/A 100 <br />ENDING DATE N/A 101 <br />BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 <br />BUSINESS PHONE 102 <br />AT&T MOBILITY-HWY 88 & E TOKAY COLONY RD <br />800-638-2822 *2 <br />BUSINESS SITE ADDRESS 103' <br />BUSINESS FAX 102a <br />9303 E LIVE OAK RD <br />Not Collected <br />BUSINESS SITE CITY104 <br />ZIP CODE 105 <br />COUNTY 108 <br />STOCKTON <br />CA <br />95212 <br />SAN JOAQUIN <br />DUN & BRADSTREET 106 <br />PRIMARY SIC 107 <br />PRIMARY NAICS 107a <br />10-202-6754 <br />4812 <br />Not Collected <br />BUSINESS MAILING ADDRESS 108a <br />4430 ROSEWOOD UR <br />BUSINESS MAILING CITY 108b <br />STATE 1081 <br />ZIP CODE 108d <br />PLEASANTON <br />CA <br />94588 <br />BUSINESS OPERATOR NAME 109 <br />BUSINESS OPERATOR PHONE 110 <br />AT&T MOBILITY <br />510-305-2553 <br />II. BUSINESS OWNER <br />OWNER NAME (14) Ill <br />OWNER PHONE (15) 112 <br />CINGULAR & NEW CINGULAR DBA <br />♦ m o_m %Rnnrr Tm <br />510-305-2553 <br />1 <br />OWNER MAILING ADDRESS 1 1 ; <br />4430 ROSEWOOD DRIVE, BLDG3, 6TH FLR. <br />OWNER MAILING CITY 1141 <br />STATE 115 <br />ZIP ODE 116 <br />PLEASANTON <br />CA <br />94588 <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME 117 <br />CONTACT PHONE 118 <br />EH&S - ANDREW TAYLOR <br />1 925-823-6161 <br />CONTACT MAILING ADDRESS 119 <br />CONTACT EMAIL 119a <br />2600 CAMINO RAMON R.N1 - <br />., <br />stephen.lockert@stantee.com <br />CONTACT MAILING CITY 120 <br />STATE 121 <br />ZIP CODE 122 <br />SAN RAMON <br />CA <br />94583 <br />IV. EMERGENCY CONTACTS <br />NAME ELLEN MAGNIE 123 <br />NAME ROBERT GARZA 128 <br />TITLE 124 <br />COMPLIANCE MANAGER <br />TITLE 129 <br />OPERATIONS MANAGER <br />BUSINESS PHONE 510-305-2553 125 <br />BUSINESS PHONE 925-468-8499 130 <br />24-HOUR PHONE 800-638-2822 *2 126 <br />24-HOUR PHONE 866-435-7347 131 <br />PAGER # 510-305-2553 127 PAGER <br /># 415-999-2672 132 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 <br />COMPLETE PAGE 2 OF BUSINESS OWNER/OPERATOR IDENTIFICATION <br />Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law by signing below or certifying by the <br />established processes on the Administerting Agency's HMMP Compliance Website that I have personally examined and am familiar with the informaiton submitted and <br />believe the information is true, accurate, and complete. <br />SIGNATURE OF OWNER/OPERATOR DESIG ED REPRESENTATIVE DATE 134 LNAMEOF DOCUMENT PREPARER 13 <br />AY 1 2T9 <br />NAME OF SIGNER ( 136 ITLE OF SIGNER 1 <br />T <br />VE SKANDERSOv P,M-c- <br />UPCF (Rev. 12/2007) `-j <br />TY <br />:RVICES <br />