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SAN JOAQUIN ,OUNTY ENVIRONMENTAL HEALTH L,,�PARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 6/11/2015 <br />Submitted on: 6/5/2015 4:16:14PM <br />Submitted by: Julie Anenson Email: julie.anenson@cbi.com <br />OWNER INFORMATION <br />Owner I D <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />OW0020012 <br />New Cingular Wireless PCS, LLC dba AT&T <br />PO BOX 5095, RM 4W200 <br />SAN RAMON, CA 94583 <br />925-823-8954 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0022503 <br />Facility name <br />AT&T Mobility - ELMWOOD (9879) <br />Site address <br />3255 W March Ln <br />City <br />Stockton <br />ZIP code <br />95219 <br />Facility phone <br />800-638-2822 <br />Facility mailing address PO BOX 5095, RM 4W200 <br />SAN RAMON, CA 94583 <br />BILLING INFORMATION <br />Contact name <br />Manager EH&S EPCRA <br />Address <br />PO BOX 5095, RM 4W200 <br />SAN RAMON, CA 94583 <br />Contact phone <br />925-823-8954 <br />Contact email <br />843573@att.com <br />Mail invoices to <br />Account <br />CERS ID: 10415698 <br />Facility ID in CERS: FA0022503 <br />Information after CIW processing CERS <br />(current submittal) field <br />New Cingular Wireless PCS, LLC dba AT&T 111 <br />308 S. Akard St., Room 1708 113 <br />Dallas, TX 75202 114, 115, 116 <br />214-464-2626 112 <br />AT&T Mobility - ELMWOOD (9879) 3 <br />3255 W March Ln 103 <br />Stockton 104 <br />95219 105 <br />8006382822 102 <br />308 S. Akard St., Room 1708 108a <br />Dallas, TX 75202 109b, 10ac,10ad <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 New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST 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 />1/S <br />-------------------------------------------------- <br />Accounting: Reviewed by: b6 Date: iZ Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />----------------------------------------------- <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 PR0539357 HAZA SAEED Active, Exempt I I I I <br />