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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 1/18/2018 <br /> Submitted on: 11/12/2017 4:36:41AM CERS ID: 10415416 <br /> Submitted by: Steve Taylor Email: st043d@att.com Facility ID in CERS: FA0010583 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 36 <br /> Owner ID OW0008527 <br /> Owner name New Lingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T M 111 <br /> Mailing address 308 S. Akard St., 17th Floor 308 S. Akard St., 17th Floor 113 <br /> Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br /> Work phone 214-464-1712 (214) 464-1712 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010583 <br /> Facility name AT&T Mobility- LOCKEFORD (USID9856) AT&T Mobility- LOCKEFORD (USID9856) 3 <br /> Site address 12774 Victor Rd 12774 Victor Rd 103 <br /> City Lockeford Lockeford 104 <br /> ZIP code 95237 95237 105 <br /> Facility phone 800-638-2822 (800)638-2822 102 <br /> Facility mailing address 308 S. Akard St., Room 1708 308 S.Akard St., 17th Floor 108a <br /> Dallas, TX 75202 Dallas, TX 75202 108b,mac,108d <br /> BILLING INFORMATION <br /> Contact name AT&T Mobility Manager EH&S EPCRA AT&T Mobility Manager EH&S EPCRA 140 <br /> Address 5001 Executive Pkwy, Rm 4W2001 5001 Executive Pkwy, Rm 4W2001 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 214-464-5226 (214)464-1712 141 <br /> Contact email g43573@att.com g43573@att.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP WSQG HW [ ] LQG HW [ ] RCRA HW New PR#: lc2(95`j ;�S0--) <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: 27- 0 <br /> Assigned to: I-an, <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: ovl� � Date: - I (6-177 <br /> — --- -- --y <br /> ------ --------------------- <br /> Accounting: <br /> Reviewed by:_�Date:-%411g Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> --- (YAcct billed [ I 4urr ffiPd ?Xl� By: Date: <br /> - -- ---------------- - <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location 2 chem units PRO539155 JAMIE LIMA Active [ ] [ ] <br /> 2224-HAZ MAT BUSINESS PLAN AUTHORIZATION PR0512871 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PRO510583 HAZ MAT SJC DES /p�rrJ Inactive <br /> C'-C"\ e& PL� W <br /> v , �r t;EI� L7 6%� <br /> l nJ D3044(2-5 <br />