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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 4/29/2016 <br /> Submitted on: 4/14/2016 10:48:59AM CERS ID: 10141123 <br /> Submitted by: Steve Skanderson Email: steve.skanderson@stantec.com Facility ID in CERS: FA0010736 <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 OW0021497 <br /> Owner name Verizon California Inc. Frontier California Inc. 111 <br /> Mailing address 280 S. Locust Street 280 S. Locust Street 113 <br /> Pomona, CA 91766 Pomona, CA 91766 114, 115, 116 <br /> Work phone 909-620-5498 909-620-5962 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0010736 <br /> Facility name Verizon California: Clements CO Frontier California Inc.: Clements CO 3 <br /> Site address NW C/O HWY 88 & MACKVILLE RD NW C/O Hwy 88 & Mackville Road 103 <br /> City Clements Clements 104 <br /> ZIP code 95227 95227 105 <br /> Facility phone 209-759-0070 209-759-0070 102 <br /> Facility mailing address 280 S. Locust Street 280 S. Locust Street 108a <br /> Pomona, CA 91766 Pomona, CA 91766 108b, 10ac,10sd <br /> BILLING INFORMATION <br /> Contact name Zachary Feingold Masood Choudhury 140 <br /> Address 280 S. Locust Street 280 S. Locust Street 143 <br /> Pomona, CA 91766 Pomona, CA 91766 144, 145, 146 <br /> Contact phone 909-620-5498 909-620-5962 141 <br /> Contact email zachary.d.feingold@verizon.com Masood.Choudhury@FTR.com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate <br /> 1this calendar year [ ] next calendar year [ ] exempt from billing <br /> ` <br /> Processed through CERS Integration Wizard by: y` lDate: q� a' - t, <br /> Accounting: Reviewed by: Date. 5 2 Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] 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 PR0513024 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510736 HAZ MAT SJC OES Inactive [ ] [ l <br />