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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 4/21/2017 <br />Submitted on: 4/10/2017 6:05:17AM <br />Submitted by: David Jean Email: djean@sigmaconsult.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 1 <br />OW0020006 <br />New Cingular Wireless PCS, LLC dba AT&T <br />308 S. Akard St., Room 1708 <br />Dallas, TX 75202 <br />214-464-5226 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022500 <br />Facility name <br />AT&T Mobility - DURHAM (USID9853) <br />Site address <br />2598 W YOSEMITE AVE <br />City <br />MANTECA <br />ZIP code <br />95337 <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 214-464-5226 <br />Contact email g43573@att.com <br />Mail invoices to Account <br />CERS ID: 10415425 <br />Facility ID in CERS: FA0022500 <br />Information after CIW processing CERS <br />(current submittal) field <br />New Cingular Wireless PCS, LLC dba AT&T M 111 <br />308 S. Akard St., 17th Floor 113 <br />Dallas, TX 75202 114, 115, 116 <br />(214) 741-0630 112 <br />AT&T Mobility - DURHAM (USID9853) 3 <br />2598 WEST YOSEMITE AVENUE 103 <br />MANTECA 104 <br />95337 105 <br />(800) 638-2822 102 <br />308 S. Akard St., 17th Floor 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) 741-0630 141 <br />g43573@att.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: G" 0---'> — Date: 1 -2447 <br />------------------------------------------------- <br />Accounting: Reviewed by: 16 Date: 4(VO O Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <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 PRO539354 NICHOLAS LOEHRER Active I I I I <br />