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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/13/2014 <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 11i <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 /> t 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 IST FLOOR 255 Parkshore Drive 108a <br /> City WALNUT CREEK Folsom 108b <br /> State CAA 1080 <br /> Zip code 94598 X630 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 CA– 145 <br /> Zip code 94598 95630 146 <br /> Contact phone Not Specified 8666942415 141 <br /> Contact email Q Armand.Delgado@VerizonWireless-Com 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to! <br /> Please bili: [ ] full calendar year [ ] prorate this calendar year [ ] next calen <br /> dar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: Date: 6.1-;.1 <br /> ------ ---------r—,k-----G--__..__.------- ----/File <br /> Accounting: Reviewed by: L4-.,- Date: -T �" t Clerical: [ ] Create new file <br /> ———— <br /> -- [ ] Acct bi -- [ ] Surc argeverifi------- --------- bate------ <br /> AC21 TiVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Des_c_ription Record ID Employee name Status Reactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PRO537226 HAZA SAEED Active [ ] [ ] <br /> 2840-AST EXEMPT FAC < 1,320 GAL %' PRO528880 ARIS VELOSO Active, Exempt [ ] [ ] <br />