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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 5/16/2018 <br /> Submitted on: 1/22/2018 8:54:05AM CERS ID: 10415392 <br /> Submitted by: Steve Taylor Email: st043d@att.com Facility ID in CERS: FA0022498 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0020002 <br /> Owner name New Cingular Wireless PCS, LLC dba AT&T New Cingular Wireless PCS, LLC dba AT&T M 111 <br /> Mailing address 308 S. Akard St., 17th Floor 308 S. Akard St., 17th Floor 113 <br /> Dallas, TX 75202 Dallas, TX 75202 114, 115, 116 <br /> Work phone 214-741-0460 (214)464-1712 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022498 <br /> Facility name AT&T MOBILITY- FARMINGTON (USID984 AT&T Mobility- FARMINGTON (USID9844) 3 <br /> Site address 29939 E HWY 4 29939 E Highway 4 103 <br /> City FARMINGTON Farmington 104 <br /> ZIP code 95230 95230 105 <br /> Facility phone 800-638-2822 (800) 638-2822 102 <br /> Facility mailing address 308 S. Akard St., 17th Floor 308 S. Akard St., 17th Floor 108a <br /> Dallas, TX 75202 Dallas, TX 75202 108b,108c,108d <br /> BILLING INFORMATION <br /> Contact name AT&T Mobility Manager EH&S EPCRA AT&T Mobility Manager EH&S EPCRA 140 <br /> Address 5001 Executive Pkwy, Rm 4W2001 5001 Executive Pkwy, Rm 4W2001 143 <br /> San Ramon, CA 94583 San Ramon, CA 94583 144, 145, 146 <br /> Contact phone 214-741-0460 (214)464-1712 141 <br /> Contact email g43573@att.com 843573@att.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ SQG HW [ ] LQG HW [ ] RCRA HW New PR#: P(Z0t55-5115 <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: a?.?;o <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: I`f�`\ I� Date: (�-[t° -4Y.' <br /> - - ---- -------------------------------- <br /> Accounting: Reviewed by: t 6 Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials 1 chem units PR0539352✓ JAMIE LAMA Active [ ] [ ] <br />