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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 7:50:12AM <br />Submitted by: Steven Taylor Email: staylor@sigmaconsult.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />CERS ID: 10415560 <br />Facility ID in CERS: incorrect <br />Information prior to CIW processing Information after CIW processing CERS <br />(current EC database) (current submittal) field <br />OW0008527 <br />New Cingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T 111 <br />308 S. Akard St., Room 1708 308 S. Akard St., Room 1708 113 <br />Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br />214-464-2626 214-464-2626 112 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010570 <br />Facility name <br />AT&T Mobility - MARCH LANE (9841) <br />Site address <br />49 WEST YOKUTS AVENUE <br />City <br />Stockton <br />ZIP code <br />95207 <br />Facility phone <br />800-638-2822 <br />Facility mailing address PO BOX 5095, ROOM 3E000 <br />AT&T Mobility - MARCH LANE (USID9841 3 <br />49 WEST YOKUTS AVENUE 103 <br />STOCKTON 104 <br />95207 105 <br />8006382822 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: ",Vj Date: <br />Accounting: Reviewed by: Date: ���'� I S 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 PR0538351 HAZA SAEED Active [ I 1 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510570 HAZ MAT SJC OES Inactive [ ] [ ] <br />SAN RAMON, CA 94583 <br />BILLING INFORMATION <br />Contact name <br />AT&T Mobility <br />Address <br />PO BOX 5095, ROOM 3E000 <br />SAN RAMON, CA 94583 <br />Contact phone <br />925-823-8954 <br />Contact email <br />ca696d@att.com <br />Mail invoices to <br />Facility <br />AT&T Mobility - MARCH LANE (USID9841 3 <br />49 WEST YOKUTS AVENUE 103 <br />STOCKTON 104 <br />95207 105 <br />8006382822 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: ",Vj Date: <br />Accounting: Reviewed by: Date: ���'� I S 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 PR0538351 HAZA SAEED Active [ I 1 <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510570 HAZ MAT SJC OES Inactive [ ] [ ] <br />