Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard <br />Date run' 1/10/2017 <br />Submitted on: 1/3/2017 8:53:21PM <br />Submitted by: Debra Voth Email: Debra.Voth@verizonwireless.com <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />Number of Facilities for this Owner: 1 <br />OW0021733 <br />Verizon Wireless <br />295 Parkshore Drive <br />Folsom, CA 95630 <br />866-694-2415 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0023484 <br />Facility name <br />Verizon Wireless Bear Creek <br />Site address <br />10979 N MICKE GROVE RD <br />City <br />Lodi <br />ZIP code <br />95240 <br />Facility phone <br />866-694-2415 <br />Facility mailing address 295 Parkshore Drive <br />Folsom, CA 95630 <br />BILLING INFORMATION <br />Contact name Environmental Compliance <br />Address 295 Parkshore Drive <br />Folsom, CA 95630 <br />Contact phone 866-694-2415 <br />Contact email Armand.Delgado@VerizonWireless.com <br />Mail invoices to Account <br />CERS ID: 10663819 <br />Facility ID in CERS: incorrect <br />Information after CIW processing CERS <br />(current submittal) field <br />Verizon Wireless 111 <br />295 Parkshore Drive 113 <br />Folsom, CA 95630 114, 115, 116 <br />(866) 694-2415 112 <br />Verizon Wireless Bear Creek <br />3 <br />10979 N Micke Grove Rd <br />103 <br />Lodi <br />104 <br />95240 <br />105 <br />(866) 694-2415 <br />102 <br />295 Parkshore Drive <br />108a <br />Folsom, CA 95630 <br />108b, 108c, 108d <br />Environmental Compliance 140 <br />295 Parkshore Drive 143 <br />Folsom, CA 95630 144, 145, 146 <br />(866) 694-2415 141 <br />Armand.Delgado@VerizonWireless.com 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate <br />,this calendar year [ ] next calendar year [ ] exempt from billing <br />Processed through CERS Integration Wizard by: v"'"lDate: 1 I,0 q <br />Accounting: Reviewed by: 16 Date: //1 D Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: Date: <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Record ID Employee name Status Reactivated Inactivated <br />19-26 - HMBP-Remote Network Location 2 chem units PR0541022 HAZA SAEED Active [ ] [ ] <br />