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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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R A BRIDGEFORD
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7900
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1900 - Hazardous Materials Program
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PR0520980
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BILLING
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Entry Properties
Last modified
11/4/2024 2:30:03 PM
Creation date
6/11/2018 5:21:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0520980
PE
1920
FACILITY_ID
FA0013603
FACILITY_NAME
FEDERAL AVIATION ADMINISTRATION
STREET_NUMBER
7900
Direction
S
STREET_NAME
R A BRIDGEFORD
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17726006
CURRENT_STATUS
01
SITE_LOCATION
7900 S R A BRIDGEFORD ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\R\RA BRIDGEFORD\7900\PR0520980\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/1/2016 5:49:34 PM
QuestysRecordID
3247574
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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CPG # TO: ICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL U <br /> 026000.0 1 �l <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> FEDERAL AVIATION ADMINISTRATION <br /> C/O NAME GUARANTOR SSN <br /> FEDERAL AVIATION ADMINISTRATION <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> FEDERAL AVIATION ADMINISTRATION 11025 TRADE CENTER DR RANCHO CORDOVA CA 95670 916-859-6052 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 11025 TRADE CENTER DRIVE,STE. 100 RANCHO CA 95670 916-859-6001 <br /> USER REFERENCE NO. I BILL STA CYCLEI STATUS DATE BMd CBMC INT I MONTHLY PAY AMT <br /> 10078 HAZMAT 8/9/04 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnpi <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2003-2004 Hmmp <br /> Annual Fee $480.00 <br /> 2003-2004 2 Chems @ <br /> $15.00 Each Year $60.00 <br /> 10% Late Charge $54.00 <br /> State Service Fee $24.00 <br /> TOTAL $618.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FEDERAL AVIATION ADMINISTRATION 916-859-6052 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 7900 S R A BRIDGEFORD ST STOCKTON CA 95206 <br /> SPe85E CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FEDERAL AVIATION ADMINISTRATION 916-859-6052 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 7900 S R A BRIDGEFORD ST STOCKTON CAJ 95206 <br /> PREPARED BY ,7 CHECKED BY DATE `vC Y cps. 20 urs <br />
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