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SAN JOAQUTAtOUNTY ENVIRONMENTAL HEALTH*EPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/13/2014 <br /> Submitted on: 6/11/2014 3:33:20PM CERS ID: 10144095 <br /> Submitted by: Debra Voth Email: Debra.Voth@verizonwireless.com Facility ID in CERS: FA0022082 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0008734 <br /> Owner name Verizon Wireless Verizon Wireless 111 <br /> Mailing address 255 Parkshore Drive 255 Parkshore Drive 113 <br /> City Folsom Folsom 114 <br /> State CA CA 115 <br /> ZIP code 95630 95630 116 <br /> Work phone 866-694-2415 8666942415 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022082 <br /> Facility name VERIZON WIRELESS LOCKEFORD Verizon Wireless Lockeford 3 <br /> Site address 14700 E HWY 88 14700 E Hwy 88 103 <br /> City LOCKEFORD Lockeford 104 <br /> Zip code 95237 95237 105 <br /> Facility phone 866-694-2415 8666942415 102 <br /> Facility mailing address 255 PARKSHORE DR 255 Parkshore Drive 108a <br /> City FOLSOM Folsom 108b <br /> State CA CA 1080 <br /> Zip code 95630 95630 108d <br /> BILLING INFORMATION <br /> Contact name VERIZON WIRELESS LOCKEFORD Environmental Compliance 140 <br /> Address 255 PARKSHORE DR 255 Parkshore Drive 143 <br /> City FOLSOM Folsom 144 <br /> State CA CA 145 <br /> Zip code 95630 95630 146 <br /> Contact phone Not SpecifiedIp 8666942415 141 <br /> Contact email I` Armand.Delgado@VerizonWireless.Com 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] 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: Date: (U.t3't kA <br /> Accounting: Reviewed by: Date: 4It f Clerical: ile [ ] Create new file <br /> [ ] Acct ' d [ ] Surchar erified 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 PRO538210 HAZA SAEED Active 11 11 <br />