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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MADISON
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1319
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1900 - Hazardous Materials Program
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PR0519421
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BILLING
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Entry Properties
Last modified
10/31/2020 10:07:22 PM
Creation date
6/10/2018 12:27:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0519421
PE
1921
FACILITY_ID
FA0003728
FACILITY_NAME
PLYMOUTH SQUARE
STREET_NUMBER
1319
Direction
N
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
1319 N MADISON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\M\MADISON\1319\PR0519421\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
5/5/2017 10:21:18 PM
QuestysRecordID
3376067
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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PgU�N <br /> OUNTY OF SAN JOAQUIN ACCOUNT NUMBER <br /> < 'OFFICE OF EMERGENCY SERVIC, <br /> ROOM 610, COURTHOUSE 1579 <br /> -i 222 EAST WEBER AVENUE <br /> C'�OIFORN\P STOCKTON, CALIFORNIA 95202 it 9�1 <br /> BUSINESS EMERGENCY PLAN FEES '+ <br /> &61A&.11 COUNTY <br /> BUSINESS NAME BUSINESS <br /> PLYMOUTH SQUARE 209_41515_424' <br /> BUSINESS CONTACT NAME <br /> DEL BOLTON <br /> BUSINESS ADDRESS -',CITY STATE ZIP <br /> 1319 N NADISON ST STOCKT,ON CA 95 202 <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ LONG FORM ❑ SHOFORRT <br /> NUMBER OF HAZARDOUS MATERIALS: <br /> AMOUNT DUE • • <br /> $249.00 + / 2 X $ 15.00 <br /> FEE \ NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> DATE DUE: 0f061e3 WHITE COPYYOUR <br /> KEEP YELLOW COPY FOR YOUR RECORDS.i <br /> If you have any questions or wish to discuss the calculations, please <br /> call 468-3969 to make an appointment. <br /> Thank you for your cooperation. <br /> CSJ/UES-01 <br /> RETURN WITH YOUR REMITTANCE • <br />
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