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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/16/2014 <br /> Submitted on: 6/11/2014 2:20:48PM CERS ID: 10468174 <br /> Submitted by: Debra Voth Email: Debra.Voth@verizonwireless.com Facility ID in CERS: FA0022154 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0018212 <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 866-694-2415 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0022154 <br /> Facility name Verizon Wireless: Lathrop Union Verizon Wireless: Lathrop Union 3 <br /> Site address 815 W Lathrop Rd 815 W Lathrop Rd 103 <br /> City Manteca Manteca 104 <br /> Zip code 95336 95336 105 <br /> Facility phone 866-694-2415 866-694-2415 102 <br /> Facility mailing address 255 Parkshore Drive 255 Parkshore Drive 108a <br /> City Folsom Folsom 108b <br /> State CA CA 108c <br /> Zip code 95630 95630 108d <br /> BILLING INFORMATION <br /> Contact name VERIZON WIRELESS Environmental Compliance 140 <br /> Address 255 Parkshore Drive 255 Parkshore Drive 143 <br /> City Folsom Folsom 144 <br /> State CA CA 145 <br /> Zip code 95630 95630 146 <br /> Contact phone 866-694-2415 866-694-2415 141 <br /> Contact email arhrmand.delgado@verizonwireless.com armand.delgado@verizonwireless.com 142 <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 this calendar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: kAA Date: &,, -k 6 .14 <br /> Accounting: Reviewed by:�Date: Clerical: /File [ ] Create new file <br /> [ ] AIl�d_ [ ] Surcha _ erified _ By: Date_ <br /> --------------------__ __ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1921 -HMBP-Regular-Primary Location PR0538319 MICHAEL PARISSI Active [ I I I <br />