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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 6/16/2014 <br /> Submitted on: 2/18/2014 3:18:59PM CERS ID: 10207267 <br /> Submitted by: Steve Skanderson Email: steve.skanderson@stantec.com <br /> Facility ID in CERS: FA0005003 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Owner ID OW0002840 <br /> Owner name VERIZON CALIFORNIA INC Verizon California Inc. <br /> Mailing address 2 HAMPSHIRE ST 280 S. Locust Street 111 <br /> City LAWRENCE Pomona 113 <br /> State MA 114 <br /> CA <br /> ZIP code 01840 CA <br /> A115 <br /> Work phone 978-469-1661 91766 116 <br /> 909-620-5498 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0005003 <br /> Facility name VERIZON CALIFORNIA Verizon California: Manteca PY 3 <br /> Site address 17855 COMCONEX RD 17855 Comconex Rd 103 <br /> City MANTECA Manteca 104 <br /> Zip code 95336 95336 <br /> Facility phone 209-825-9301 209-825-9301 105 <br /> 102 <br /> Facility mailing address 2 HAMPSHIRE ST 280 S. Locust Street 108a <br /> City LAWRENCE Pomona 108b <br /> State MA CA 1080 <br /> Zip code 01840 91766 108d <br /> BILLING INFORMATION <br /> Contact name VERIZON CALIFORNIA Zachary Feingold 140 <br /> Address 2 HAMPSHIRE ST 280 S. Locust Street 143 <br /> City LAWRENCE Pomona 144 <br /> State MA CA 145 <br /> Zip code 01840 91766 146 <br /> Contact phone 209-239-4111 909-620-5498 141 <br /> Contact email F–& zachary.d.feingold@verizon.com 142 <br /> Program record [ ] HMBP [ ] SQG HW [ ] LOG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CaIARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendarear <br /> y [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: yl Date: (0 <br /> - ------------- — ------------------------- <br /> Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Create new file <br /> -- [ ] Ac _ed [ ] Surchar n led y: Date: <br /> ---------- -- -- ey— — — <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0520461 MICHAEL PARISSI Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0538437 ELENA MANZO Active [ ] [ ] <br /> 2381 -UST FACILITY(BEFORE 1/84)-obsolete PR0501149 ALISON YOUNGBLOOD Inactive [ ] [ ] <br /> 4740-WASTE TIRE SITE-EXEMPT PRO531011 HARPRIT MATTU Active [ ] [ ] <br />