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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 12/8/2015 <br /> Submitted on: 12/7/2015 11:55:02AM ERS ID: 10145711 <br /> Submitted by: Debra Voth Email: Debra.Voth@verizonwireless.com Facility Ip in CERS: FA0019330 <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 97 <br /> Owner ID OW0008734 <br /> Owner name Verizon Wireless Verizon Wireless 111 <br /> Mailing address 295 Parkshore Drive 295 Parkshore Drive 113 <br /> Folsom, CA 95630 Folsom, CA 95630 114, 115, 116 <br /> Work phone 866-694-2415 8666942415 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0019330 <br /> Facility name Verizon Wireless West Linne Road Verizon Wireless West Linne oad 3 <br /> Site address 8872 W Linne Rd 8872 W Linne Rd 103 <br /> City Tracy Tracy 104 <br /> ZIP code 95304 95304 105 <br /> Facility phone 866-694-2415 8666942415 102 <br /> Facility mailing address 255 Parkshore Drive 295 Parkshore Drive 108a <br /> Folsom, CA 95630 Folsom, CA 95630 108b,108C,mea <br /> BILLING INFORMATION <br /> Contact name Environmental Compliance Environmental Compliance 1 140 <br /> Address 255 Parkshore Drive 295 Parkshore Drive 143 <br /> Folsom, CA 95630 Folsom, CA 95630 144, 145, 146 <br /> Contact phone 866-694-2415 8666942415 141 <br /> Contact email Armand.Delgado@VerizonWireless.Com Armand.Delgado@VerizonWir less.Com 142 <br /> Mail invoices to Account <br /> Program record [ ] HMBP [ ] 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 [ J exempt from billing <br /> Processed through CERS Integration Wizard by: 922' Date: I t I[s <br /> Accounting: Reviewed by: A_Date: 04,111E Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: T Date_ <br /> _ <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Emolovee name Status eactivated Inactivated <br /> 1926-HMBP-Unstaffed Network Location PR0537225 PETER LOMBARDI Active [ ] [ 1 <br />