Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/13/2014 <br /> Submitted on: 6/11/2014 12:39:39PM CERS ID: 10142791 <br /> Submitted by: Debra Voth Email: Debra.Voth@verizonwireless.com Facility ID in CERS: FA0010723 <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 FA0010723 <br /> Facility name VERIZON -NO CLEMENTS CELL SITE Verizon Wireless Clements North 3 <br /> Site address 24550 N HWY 88 24550 North St Hwy 88 103 <br /> City CLEMENTS Clements 104 <br /> Zip code 95227 95227 105 <br /> Facility phone 209-759-3151 8666942415 102 <br /> Facility mailing address 2785 MITCHELL RD 255 Parkshore Drive 108a <br /> BLDG 9- 1 ST FLOOR <br /> City WALNUT CREEK Folsom 108b <br /> State CA CA 1080 <br /> Zip code 94598 95630 108d <br /> BILLING INFORMATION <br /> Contact name VERIZON -NO CLEMENTS CELL SITE Environmental Compliance 140 <br /> Address 2785 MITCHELL RD 255 Parkshore Drive 143 <br /> City WALNUT CREEK Folsom 144 <br /> State CA CA 145 <br /> Zip code 94598 95630 146 <br /> Contact phone 925-279-6463 8666942415 141 <br /> Contact email Armand.Delgado@VerizonWireless.Com 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ J 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: U%4J Date: 6`13 t A <br /> Accounting: Reviewed by: Date: ;Clerical: File [ ] Create new file <br /> [ ] A ed [ ] Surc everiied ____________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 PRO513011 HAZA SAEED Active [ ] [ ] <br /> 2399-UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510723 HAZ MAT SJC DES Inactive [ ] [ ] <br /> 2840-AST EXEMPT FAC <1,320 GAL PRO528603 ARTS VELOSO Active, Exempt [ ] [ ] <br />