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SAN JOAQUIN BOUNTY ENVIRONMENTAL HEALTH L zPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 5/12/2015 <br />Submitted on: 3/12/2015 3:31:23PM <br />CERS ID: 10415698 <br />Submitted by: Sheila Caballero <br />Email: sheila.caballero@shawgrp.com <br />Facility ID in CERS: FA0022503 <br />3255 W March Ln <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION <br />(current EC database) <br />(current submittal) <br />field <br />Owner ID <br />OW0020012 <br />Owner name <br />New Cingular Wireless PCS, LLC dba AT&T <br />New Cingular Wireless PCS, LLC dba AT&T <br />111 <br />Mailing address <br />PO BOX 5095, ROOM 3E000 <br />PO BOX 5095, RM 4W200 <br />113 <br />SAN RAMON, CA 94583 <br />SAN RAMON, CA 94583 <br />114, 115, 116 <br />Work phone <br />925-823-8954 <br />9258238954 <br />112 <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, ROOM 3E000 <br />SAN RAMON, CA 94583 <br />BILLING INFORMATION <br />Contact name Claudette Altamirano <br />Address PO BOX 5095, ROOM 3E000 <br />SAN RAMON, CA 94583 <br />Contact phone 925-823-8954 <br />Contact email CA696D@ATT.COM <br />Mail invoices to Facility <br />AT&T Mobility - ELMWOOD (9879) 3 <br />3255 W March Ln 103 <br />Stockton 104 <br />95219 105 <br />8006382822 102 <br />PO BOX 5095, RM 4W200 108a <br />SAN RAMON, CA 94583 108b, 10&c, 108d <br />Manager EH&S EPCRA 140 <br />PO BOX 5095, RM 4W200 143 <br />SAN RAMON, CA 94583 144, 145, 146 <br />9258238954 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: 1 t ;_IlT <br />------- ------— ----- - — — <br />Accounting: Reviewed by: Date: i; /I M �- Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />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 PR0539357 HAZA SAEED Active, Exempt I I I I <br />