My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING_PRE 2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
D
>
DUCK CREEK
>
3806
>
1900 - Hazardous Materials Program
>
PR0530808
>
BILLING_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/23/2021 10:10:06 PM
Creation date
6/9/2018 1:48:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0530808
PE
1921
FACILITY_ID
FA0019964
FACILITY_NAME
V&W DRILLING INC
STREET_NUMBER
3806
Direction
(none)
STREET_NAME
DUCK CREEK
STREET_TYPE
DR
City
STOCKTON
Zip
95215
APN
17334032
CURRENT_STATUS
Active, billable
SITE_LOCATION
3806 DUCK CREEK DR
P_LOCATION
01
P_DISTRICT
001
Supplemental fields
FilePath
\MIGRATIONS\D\DUCK CREEK\3806\PR0530808\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
7/19/2017 10:56:30 PM
QuestysRecordID
3520897
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
7
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CPG' # TO: OFFICE OF REVENUE AND RECOVERY ACCOUNT TRANSMITTAL COPYACCOUNTNO. DEPT.NO. REFERR <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> V&W DRILLING INC <br /> C/O NAME GUARANTOR SSN <br /> ROBERT VICKERY <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> V&W DRILLING INC 3806 DUCK CREEK DR STOCKTON CA 95215 209-469-7700 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 549 WALLACE CA 95254 209-329-7742 <br /> USER REFERENCE NO. IBILL kTAT ICYCLE ISTATUS DATEI BM CBMd IN MONTHLY PAY AMT IYMT PROS <br /> n'-P MATP TERM DATf- <br /> 14187 HAZMAT 3/15/12 <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE D DATE OF <br /> TART STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> 230 042000.0 2012 Hazmat Fee $285.00 p8q <br /> 1 1 <br /> 30 1 014290010 1 Hazmat Penalty Fee $28.50 p8q10 4009.01 <br /> p8q I q429OOtO I State Surcharge Fee $24.00 p8q <br /> p8q 0 2 00 0 Electronic Surcharge $25.00 p8q <br /> 80 1 0 2 00 0 -I p8q 1 P43009.01 <br /> 80 1 0I42q0010 I p8q <br /> 8 0 2ql]10.p p8q400 .0 <br /> TOTAL $362.50 <br /> GUARANTOR <br /> PRIOR STREET riTy RT ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> V&W DRILLING INC 209-469-7700 <br /> EMPLOYERSTREET CITY ST I ZIP CODE <br /> 3806 DUCK CREEK DR STOCKTON CA 95215 <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> V&W DRILLING INC 209-469-7700 <br /> EMPLOYER STREET CITY ST 71P r.0QF <br /> 3806DUCK CREEK DR $TOC TON CA 95215 <br /> R;zpRED RY 64L41 <br /> 1 4 CHECKED BY DATE <br />
The URL can be used to link to this page
Your browser does not support the video tag.