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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CHRISMAN
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1900 - Hazardous Materials Program
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PR0519674
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BILLING_PRE 2019
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Entry Properties
Last modified
3/15/2021 10:15:22 PM
Creation date
6/9/2018 1:10:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0519674
PE
1921
FACILITY_ID
FA0009484
FACILITY_NAME
SUBURBAN PROPANE TRACY
STREET_NUMBER
23901
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
Rd
City
Tracy
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
23901 S Chrisman Rd
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\C\CHRISMAN\23901\PR0519674\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
6/24/2016 9:52:17 PM
QuestysRecordID
2915488
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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CPC # T0: ICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> DATE <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> SUBURBAN PROPANE LP <br /> C/O NAME GUARANTOR SSN <br /> SUBURBAN PROPANE LP <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> SUBURBAN PROPANE LP 1622 N BROADWAY AVE STOCKTON CA 95205-3047 209-369-9777 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 206 WHIPPANY NJ 07981-0206 800-887-5300 <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMTDATE TERM DATE <br /> 4483 HAZMAT 3/15/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT I USER REFERENCE NO/NARRATIVE <br /> nnR <br /> SERVICE DATE: DATE OFSTART STOP MED REC NO CHARGECOPY <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2006 Hmmp Annual Fee $240.00 <br /> 1 Chem @ $15.00 $15.00 <br /> 10% Late Charge $25.50 <br /> State Surcharge Fee $24.00 AM <br /> TOTAL $304.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CRY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SUBURBAN PROPANE LP 209-369-9777 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 23901 S CHRISMAN RD TRACY CA 95304 <br /> SPeVER CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SUBURBAN PROPANE LP 209-369-9777 <br /> EMPLOYER STREET CITY ST ZIPCODE <br /> 23901 S CHRISMAN RD TRACY CA 95304 <br /> PREPARED BY I CHECK DAT -�� O� coy. zo ryae <br />
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