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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 11/30/201E <br />Submitted on: 11/22/2016 1:14:19PM <br />Submitted by: Kelly Michaels Email: km1880@easenv.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 : 17 <br />OW0016711 <br />T -MOBILE WEST CORPORATION <br />12920 SE 38th Street <br />Bellevue, WA 98006 <br />425-383-4000 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0021469 <br />Facility name <br />METRO PCS - NSAC 129 WRANGLER <br />Site address <br />8008 LORRAINE AVE STE B <br />City <br />STOCKTON <br />ZIP code <br />95210 <br />Facility phone <br />888-313-0188 <br />Facility mailing address 785 ORCHARD DR, STE 200 <br />FOLSOM, CA 95630 <br />BILLING INFORMATION <br />Contact name METRO PCS <br />Address 785 ORCHARD DR, STE 200 <br />FOLSOM, CA 95630 <br />Contact phone 888-313-0188 <br />Contact email APINVOICES@METROPCS.COM <br />Mail invoices to Owner <br />CERS ID: 10187953 <br />Facility ID in CERS: FA0021469 <br />Information after CIW processing CERS <br />(current submittal) field <br />T -MOBILE WEST, LLC 111 <br />12920 SE 38th Street 113 <br />Bellevue, WA 98006 114, 115, 116 <br />(425) 383-4000 112 <br />T -MOBILE WEST CORPORATION SC9012 3 <br />8008 LORRAINE AVE STE B 103 <br />STOCKTON 104 <br />95210 105 <br />(888) 662-4662 102 <br />1755 Creekside Oaks, Suite 190 108a <br />Sacramento, CA 95833 108b, 108c, 108d <br />Michelle Steffler 140 <br />1755 Creekside Oaks, Suite 190 143 <br />Sacramento, CA 95833 144, 145, 146 <br />(916) 643-8979 141 <br />Michelle.Steffler@T-Mobile.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: W1" Date: d 5-b ' t t-� <br />Accounting: Reviewed by: Date: i I Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ j Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />1926 - HMBP-Remote Network Location 0 chem units PR0537364 HAZA SAEED Active [ ] [ ] <br />1°i�1 <br />