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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12113!2016 <br /> Submitted on: 12!212015 8:54:48AM CERS ID: 10184145 <br /> Submitted by: Gina (Pimentel) Campigli Email: gina.pimentel@stantec.com Facility ID in CERS: FA0011286 <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 : 7 <br /> Owner ID OW0002846 <br /> Owner name MCI dba Verizon Business MCI dba Verizon Business 111 <br /> Mailing address 18850 Orange St. 18850 Orange St. 113 <br /> Bloomington, CA 92316 Bloomington, CA 92316 114, 115. 116 <br /> Work phone 909-879-2712 909-879-2712 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0011286 <br /> Facility name Verizon Business: TRCYCA Verizon Business: TRCYCA 3 <br /> Site address 28455 S CORRAL HOLLOW RD 28455 S CORRAL HOLLOW RD 103 <br /> City TRACY TRACY 104 <br /> ZIP code 95376 95376 105 <br /> Facility phone 925-241-1162 (925) 241-1162 0 102 <br /> Facility mailing address 280 S. Locust St. 18850 Orange St. 108a <br /> Pomona, CA 91766 Bloomington, CA 92316 108b, 108c,108d <br /> BILLING INFORMATION <br /> Contact name Zachary Feingold Zachary Feingold 140 <br /> Address 280 S. Locust St 18850 Orange St. 143 <br /> Pomona, CA 91766 Bloomington, CA 92316 144, 145. 146 <br /> Contact phone 909-620-5498 909-879-2712 141 <br /> Contact email zachary.d.feingold@verizon.com zachary.d.feingold@verizon.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ j RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP <br /> [ ] 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: AM Date: <br /> Accounting: Reviewed by: Date: 1,7-114,11 4o 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 /> 1926-HMBP-Remote Network Location 1 chem units PR0513574 PETER LOMBARDI Active [ ] [ ] <br /> 2831 -AST FAC >f= 1,320-X10 K GAL CUMULATIVE PR0538951 HERLINDA MENCHACA Active, Exempt [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0511286 HAZ MAT SJC OES Inactive [ ] [ ] <br /> ERSC-ELECTRONIC REPORTING STATE SURCHARGE FI PRO533064 not assigned Inactive [ ] [ ] <br />