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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run: 1/21/2016 <br />Submitted on: 1/4/2016 2:20:50PM <br />Submitted by: Gina Pimentel Email: gina.pimentel@stantec.com <br />CERS ID: 10207267 <br />Facility ID in CERS: FA0005003 <br />Information prior to CIW processing <br />Information after CIW processing <br />CERS <br />OWNER INFORMATION (current EC database) <br />(current submittal) <br />field <br />Number of Facilities for this Owner : 1 <br />Owner ID OW0002840 <br />Owner name Verizon California Inc. <br />Verizon California Inc. <br />111 <br />Mailing address 280 S. Locust Street <br />280 S. Locust Street <br />113 <br />Pomona, CA 91766 <br />Pomona, CA 91766 <br />114, 115, 116 <br />Work phone 909-620-5498 <br />909-620-5498 <br />112 <br />FACILITY FILE INFORMATION <br />Facility ID FA0005003 <br />Facility name Verizon California: Manteca PY <br />Verizon California: Manteca PY <br />3 <br />Site address 17855 Comconex Rd <br />17855 Comconex Rd <br />103 <br />City Manteca <br />Manteca <br />104 <br />ZIP code 95336 <br />95336 <br />105 <br />Facility phone 209-825-9301 <br />209-825-9301 <br />102 <br />Facility mailing address 280 S. Locust Street <br />280 S. Locust Street <br />108a <br />Pomona, CA 91766 <br />Pomona, CA 91766 <br />108b, 108c, 108d <br />BILLING INFORMATION <br />Contact name VERIZON CALIFORNIA <br />Zachary Feingold <br />140 <br />Address 280 S. Locust Street <br />280 S. Locust Street <br />143 <br />Pomona, CA 91766 <br />Pomona, CA 91766 <br />144, 145, 146 <br />Contact phone 909-620-5498 <br />909-620-5498 <br />141 <br />Contact email zachary.d.feingold@verizon.com <br />zachary.d.feingold@verizon.com <br />142 <br />Mail invoices to Account <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW <br />[ ] RCRA HW New PR#: <br />created [ ] Tiered permit [ ] APSA [ ] CaIARP <br />[ ] 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:ylf" <br />Date: <br />------------------------------------------------ <br />Accounting: Reviewed by: _b Date: 121 I <br />Clerical: [ ] File [ ] Relabel file [ ] Create <br />new file <br />[ ] Acct billed [ ] Surcharge verified <br />-------------------------------------------------- <br />By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO <br />PROCESSING THROUGH CIW <br />Program Element and Descriptron Record ID Employee name Status Reactivated <br />Inactivated <br />A-:1920 - HMBP-Common Materials PR0520461 NICHOLAS LOEHRER Active [ ] <br />2220 - SM HW GEN <5 TONS/YR PR0538437 ELENA MANZO Active <br />4740 - WASTE TIRE SITE - EXEMPT PR0531011 ALFONSO ARAMBULA Active [ ] <br />[ ] <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete PR0501149 ALISON <br />YOUNGBLOOD Inactive [ ] <br />[ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0519137 ALISON <br />YOUNGBLOOD Inactive [ ] <br />[ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0532159 not assigned Inactive [ ] <br />[ ] <br />