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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/9/2015 <br /> Submitted on: 2/27/2015 1:47:20PM CERS ID: 10415710 <br /> Submitted by: Sheila Caballero Email: sheila.caballero@shawgrp.com Facility ID in CERS: FA0010561 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0015611 <br /> Owner name PACIFIC BELL TELEPHONE COMPANY New Cingular Wireless PCS, LLC dba AT2 111 <br /> Mailing address 308 S AKARD ST, RM 1708 P.O. Box 5095, Room 4W200 113 <br /> DALLAS, TX 75202 San Ramon, CA 94583 114, 115,116 <br /> Work phone 925-823-0725 9258238954 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010561 <br /> Facility name AT&T Mobility- STOCKTON MTSO (92230/: AT&T Mobility -STOCKTON MTSO (ZX05, 3 <br /> Site address 6855 W EIGHT MILE RD 6855 W Eight Mile Rd 103 <br /> City STOCKTON STOCKTON 104 <br /> ZIP code 95219 95219 105 <br /> Facility phone 209-474-4022 209-474-4022 102 <br /> Facility mailing address PO BOX 5095, ROOM 4W200 PO BOX 5095, ROOM 4W200 108a <br /> SAN RAMON, CA 94583 SAN RAMON, CA 94583 108b,108c,ta8d <br /> BILLING INFORMATION <br /> Contact name Manager EH&S EPCRA j Manager EH&S EPCRA 140 <br /> Address P.O. Box 5095, Room 4W200 ✓ P.O. Box 5095, Room 4W200 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 925-823-8954 925-823-8954 141 <br /> Contact email g43573@att.com g43573@att.com 142 <br /> Mail invoices to Account <br /> Program record ( ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] 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: LA`10; <br /> — — —--—— —— —— — —— — —— —- <br /> Accounting: Reviewed by: Lr -- Date: 3 y[MS Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge venfied By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0520424 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0528440 ARIS VELOSO Active [ ] [ ] <br /> 2831 -AST FAC >/= 1,320-<10 K GAL CUMULATIVE PR0528407 ARIS VELOSO Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510561 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PR0533220 not assigned Inactive [ ] [ ] <br />