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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS integration Wizard <br /> Date run: 6f13f2014 <br /> Submitted on: 5/27/2014 4:10:53PM CERS IQ: 1040327$ <br /> Submitted by: Steve Skanderson Email: steve.skanderson@stantec.com <br /> Facility ID in CERS: FA0003846 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner 1D OW0002846 <br /> Owner name MCI dba Verizon Business MCI dba Verizon Business 111 <br /> Mailing address 280 S. Locust St 280 S. Locust St 113 <br /> City Pomona Pomona 114 <br /> State CA CA 115 <br /> ZIP code 91766 91766 116 <br /> Work phone 909-620-5498 909-620-5498 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0003846 <br /> Facility name Verizon Business: LDIKCA Verizon Business: LDIKCA 3 <br /> Site address 2500 W Turner Rd 2500 W Turner Rd 103 <br /> City Lodi Lodi 104 <br /> Zip code 95242 95242 105 <br /> Facility phone 209-3672688 209-367-2688 102 <br /> Facility mailing address 280 S. Locust Street 280 S. Locust St. 108a <br /> City Pomona Pomona 108b <br /> State CA CA 1080 <br /> Zip code 91766 91766 108d <br /> BILLING INFORMATION <br /> Contact name Zachary Feingold Zachary Feingold 140 <br /> Address 280 S. Locust Street 280 S. Locust St 143 <br /> City Pomona Pomona 144 <br /> State CA CA 145 <br /> Zip code 91766 91766 146 <br /> Contact phone 909-620-5498 909-620-5498 141 <br /> Contact emailh ry.d.feingold@verizon.com zachary.d.feingold@verizon.com 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG 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: ter" Date: (.0.11.1 "1 <br /> Accounting: Reviewed by: (u` Date: Ile I f Clerical: /File [ ] Create new file <br /> [ ] Acc _ed_ [ ] Surchar rlfied By: Date: <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 PR0520477 JAMIE DE LA ROSA Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONSIYR PRO535120 ARIS VELOSO Active ] ] [ ] <br /> 2226-CaIARP PROGRAM PRO514863 HAZ MAT SJC OES Inactive [ ] [ ] <br /> 2301 -UST STATE SURCHARGE FEE PRO515551 GARRETT BACKUS Inactive [ ] [ ] <br /> 2361 -UST FACILITY PR0232507 ARIS VELOSO Active [ ] [ ] <br />