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SAN JOAQUI OUNTY ENVIRONMENTAL HEALTH PARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/1312014 <br /> Submitted on: 6/12/2014 11:50:40AM CERS ID: 10144663 <br /> Submitted by: Debra Voth Email: Debra.Voth@verizonwireless.com Facility ID in CERS: FA0019349 <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 FA0019349 <br /> Facility name VERIZON WIRELESS - PELTIER Verizon Wireless Peltier 3 <br /> c Site address 21408 N THORNTON RD 21408 N Thornton Rd 103 <br /> City LODI Lodi 104 <br /> Zip code 95240 95242 105 <br /> Facility phone 925-527-9600 8666942415 102 <br /> Facility mailing address 2785 MITCHELL DR BLDG 9 1ST FLOOR 255 Parkshore Drive 108a <br /> City WALNUT CREEK Folsom 108b <br /> State CA t�A__ 108c <br /> Zip code 94598 96630 108d <br /> BILLING INFORMATION <br /> Contact name VERIZON WIRELESS - PELTIER Environmental Compliance 140 <br /> Address 2785 MITCHELL DR BLDG 9 1ST FLOOR 255 Parkshore rive 143 <br /> City WALNUT CREEK 144 <br /> State CA Se9-- 145 <br /> Zip code 94598 95630 146 <br /> Contact phone Not Specified 8666942415 141 <br /> Contact email A/1 9, Armand.Del gado@VerizonWi rel ess.Com 142 <br /> Program record [ ] HMBP [ ] SQ6 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: ,A Date: {sr"i3�� <br /> Accounting: Reviewed by: l/T✓ Date: 91411!1 Clerical: File [ ] Create new file <br /> [ ] Acctbi!jSurcba<qe verified __ By: Date_ <br /> GYNE 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 PR0537226 HAZA SAEED Active [ ] I 1 <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528880 ARIS VELOSO Active, Exempt t ] [ ] <br />