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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard Date run: 6/13/2014 <br /> Submitted on: 2/18/2014 3:29:59PM CERS ID: 10184115 <br /> Submitted by: Steve Skanderson Email: steve.skanderson@stantec.com Facility ID in CERS: FA0011228 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID 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 FA0011228 <br /> Facility name MCI DBAVERIZON BUSINESS Verizon Business: SKTICA 3 <br /> Site address 510 E MAGNOLIA ST 510 E MAGNOLIA ST 103 <br /> City STOCKTON STOCKTON 104 <br /> Zip code 95202 95202 105 <br /> Facility phone 925-241-1162 (925) 241-1162 102 <br /> Facility mailing address 2400 N GLENVILLE 280 S. Locust St. 108a <br /> City RICHARDSON Pomona 108b <br /> State TX CA 1080 <br /> Zip code 75082 91766 108d <br /> BILLING INFORMATION <br /> Contact name MCI DBA VERIZON BUSINESS Zachary Feingold 140 <br /> Address 2400 N GLENVILLE 280 S. Locust St 143 <br /> City RICHARDSON Pomona 144 <br /> State TX CA 145 <br /> Zip code 75082 91766 146 <br /> Contact phone 916-431-1920 909-620-5498 141 <br /> Contact email ,tea ✓ zachary.d.feingold@verizon.com 142 <br /> Program record [ ] H–MBP [ ] 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: Date: <br /> --------------- — --------------- <br /> Accountin Reviewed b : _Date: �� ] Clerical: ] File [ ] Create new file <br /> 9: Y <br /> ed [ ] Su verifie ------------- -- 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 PRO520763 ROBERT LOPEZ Active [ ] I 1 <br /> 2840-AST EXEMPT FAC < 1,320 GAL PRO528638 GARRETT BACKUS Active, Exempt [ ] [ ] <br />