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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/25/2016 <br />Submitted on: 1/14/2016 10:13:56AM CERS ID: 10207231 <br />Submitted by: Gina Pimentel Email: gina.pimentel@stantec.com Facility ID in CERS: FA0010739 <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 : 97 <br />OW0008734 <br />Verizon Wireless <br />295 Parkshore Drive <br />Folsom, CA 95630 <br />866-694-2415 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0010739 <br />Facility name <br />Verizon California: Airport RLU12 <br />Site address <br />891 AIRPORT WAY <br />City <br />Manteca <br />ZIP code <br />95336 <br />Facility phone <br />209-239-0012 <br />Facility mailing address <br />280 S. Locust Street <br />Pomona, CA 91766 <br />BILLING INFORMATION <br />Contact name <br />Zachary Feingold <br />Address <br />280 S. Locust Street <br />Pomona, CA 91766 <br />Contact phone <br />909-620-5498 <br />Contact email <br />zachary.d.feingold@verizon.com <br />Mail invoices to <br />Account <br />Information after CIW processing <br />CERS <br />(current submittal) <br />field <br />Verizon California' Inc. <br />111 <br />280 S. Locust Street <br />113 <br />Pomona, CA 91766 <br />114, 115, 116 <br />909-620-5498 <br />112 <br />6�1 by a1�1�1� <br />Verizon California: Airport RLU12 <br />3 <br />891 Airport Way <br />103 <br />Manteca <br />104 <br />95336 <br />105 <br />209-239-0012 <br />102 <br />280 S. Locust Street 108a <br />Pomona, CA 91766 108b, 10sc, 10sd <br />Zachary Feingold 140 <br />280 S. Locust Street 143 <br />Pomona, CA 91766 144, 145, 146 <br />909-620-5498 141 <br />zachary.d.feingold@verizon.com 142 <br />Program record [ ] HMBP [ ] SOG 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: Date: <br />Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct bil,led [ ] Surcharge 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 PR0513027 NICHOLAS LOEHRER Active [ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510739 HAZ MAT SJC OES Inactive [ ] [ ] <br />