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SAN JOAQbii,_ . OUNTY ENVIRONMENTAL HEALTh _ZPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/13/2014 <br /> Submitted on: 2/18/2014 4:05:17PM CERS ID: 10184145 <br /> Submitted by: Steve Skanderson Email: steve.skanderson@stantec.com Facility ID in CERS: FA0011286 <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 FA0011286 <br /> Facility name MCI DBAVERIZON BUSINESS Verizon Business: TRCYCA 3 <br /> Site address 28455 S CORRAL HOLLOW RD 28455 S CORRAL HOLLOW RD 103 <br /> City TRACY TRACY 104 <br /> Zip code 95376 95376 105 <br /> Facility phone 925-241-1162 (925) 241-1162 0 102 <br /> Facility mailing address 2400 N GLENVILLE DR 280 S. Locust St. 108a <br /> City RICHARDSON Pomona 108b <br /> State TX CA 108c <br /> Zip code 75082 91766 108d <br /> BILLING INFORMATION <br /> Contact name MCI DBA VERIZON BUSINESS Zachary Feingold 140 <br /> Address 2400 N GLENVILLE DR 280 S. Locust St 143 <br /> City RICHARDSON Pomona 144 <br /> State TX CA 145 <br /> Zip code 75082 91766 146 <br /> Contact phone Not Specified 909-620-5498 141 <br /> Contact email zachary.d.feingold@verizon.com 142 <br /> Program record [ ] HMBP SQG HW [ ] LQG HW [ ] RCRA HW New PR#: p(L05 3$I'S <br /> created [ ] Tiered permi APSA [ ] CalARP [ ] UST New PE: Zg3 <br /> Assigned to: <br /> Please bill: [ ] full calendar year rorate this calendar year [ ] next calendar year exempt from billing <br /> Ll <br /> Processed through CERS Integration Wizard by: W 0 Date: (t '\ 7-I —I <br /> Accounting: Reviewed by: Date: Clerical: [ ] File }, Create new file <br /> [ ] Acct billed [ ] Surcharge verified 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 PR0513574 MICHAEL PARISSI Active [ ] [ ] <br /> W �Ou P(4,-T- et r, , W- fX,, <br />