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BUSINESS OWNER/OPERATOR IDENTIFICATION FORM <br />6/19/2008 1E Account #: 1279(1 <br />I. IDENTIFICATION <br />BUSINESS NAME (4) AT&T MOBILITY-LOUISE BUSINESS PHONE (5) 1800-638-2822 <br />SITE ADDRESS (6) 1236 <br />CITY (7) <br />BRA STREET (10) 10-202-6754 <br />OPERATOR (12) <br />NAME AT&T MOBILITY <br />MAIN / ST <br />n Street Name Street Type Apt/Bldg/Suite <br />STATE (8) CA ZIP (9) 95336 <br />SIC CODE (4 DIGIT #) (11) 4812 <br />OPERATOR PHONE (13)1916-285-4201 <br />II. BUSINESS OWNER <br />OWNER NAME (14) CINGULAR & NEW CINGULAR I OWNER PHONE (15) 916-285-4201 <br />DBA AT&T MOBILITY <br />OWNER MAILING ADDRESS (16) 13851 N. FREEWAY BLVD. <br />(If different from site address) <br />CITY (17) SACRAMENTO STATE (18) El <br />ZIP (19) F583:4: <br />III. ENVIRONMENTAL CONTACT <br />CONTACT NAME (20) FH&S - JESSICA NIELSEN CONTACT PHONE (21) 1916-285-4201 <br />MAILING ADDRESS (22) <br />(If different from site address) 13851 N FREEWAY BLVD <br />Street No. Direction Street Name Street Type A t/Bld"/Suite <br />CITY (23) SACRAMENTO STATE (24) CI A I ZIP (zs) 95834 <br />NAME (26) <br />TITLE (27) <br />BUSINESS PHONE (28) <br />24-HOUR PHONE (29) <br />PAGER # (30) <br />MAGNIE <br />MANAGER <br />NAME (3 1) <br />GHIZAL ABAWI <br />TITLE (32) (COMPLIANCE ANALYST II <br />BUSINESS PHONE (33) <br />24-HOUR PHONE (34) 1800-638-2822 <br />PAGER # (35) <br />EXTREMELY HAZARDOUS SUBSTANCES (EHS) <br />ON-SITE EHS (36) YES If yes, and above Threshold Planning Quantities, attach a sheet of paper with a general <br />description of the process and principle equipment involved with the EHS. <br />ADDITIONAL LOCALLY COLLECTED INFORMATION (37) Provide information requested on the 2nd page of this form <br />NAME OF DOCUMENT PREPARER (38) ISTANTEC CONSULTING INC. <br />NAME OF OWNERIOPERATOR (39) NEW CINGULAR WIRELESS DATE (40) <br />PCS, LLC DBA AT&T <br />