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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/4/2016 <br />Submitted on: 12/31/2015 9:17:45AM <br />Submitted by: Mike Larow Email: ml216w@att.com <br />CERS ID: 10479922 <br />Facility ID in CERS: FA0022549 <br />Information prior to CIW processing Information after CIW processing <br />OWNER INFORMATION(current EC database) (current submittal) <br />Number of Facilities for this Owner : 1 <br />Owner ID OW0020103 <br />Owner name New Cingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T <br />Mailing address 308 S. Akard St., Room 1708 308 S. Akard St., Room 1708 <br />Dallas, TX 75202 Dallas, TX 75202 <br />Work phone 214-464-2626 214-464-2626 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022549 <br />Facility name <br />AT&T Mobility - 1-5 - DOWNING (47639) <br />Site address <br />3525 Manthey Rd <br />City <br />Stockton <br />ZIP code <br />95206 <br />Facility phone <br />800-638-2822 <br />Facility mailing address 308 S. Akard St., Room 1708 <br />Dallas, TX 75202 <br />BILLING INFORMATION <br />Contact name AT&T Mobility Manager EH&S EPCRA <br />Address 5001 Executive Pkwy, RM 4W2001 <br />San Ramon, CA 94583 <br />Contact phone 214-464-2626 <br />Contact email g43573@att.com <br />Mail invoices to Account <br />CERS <br />field <br />111 <br />113 <br />114, 115, 116 <br />112 <br />AT&T Mobility - 1-5 - DOWNING (USID476: 3 <br />3525 Manthey Rd <br />103 <br />Stockton <br />104 <br />95206 <br />105 <br />8006382822 <br />102 <br />308 S. Akard St., Room 1708 108a <br />Dallas, TX 75202 108b, 108c, 108d <br />AT&T Mobility Manager EH&S EPCRA 140 <br />5001 Executive Pkwy, RM 4W2001 143 <br />San Ramon, CA 94583 144, 145, 146 <br />214-464-2626 141 <br />g43573@att.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST <br />New PR#: _ <br />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: <br />Accounting: Reviewed by: l Date: 1 �(°��� 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 Reactivated Inactivated <br />1926 - HMBP-Unstaffed Network Location PR0539444 ROBERT LOPEZ Active, Exempt I I I I <br />