My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
R
>
REPORT
>
1625
>
1900 - Hazardous Materials Program
>
PR0523504
>
BILLING
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/10/2024 1:48:58 PM
Creation date
6/11/2018 5:22:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
RECORD_ID
PR0523504
PE
1920
FACILITY_ID
FA0015883
FACILITY_NAME
AD FORCE PRIVATE SECURITY
STREET_NUMBER
1625
Direction
N
STREET_NAME
REPORT
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14316037
CURRENT_STATUS
Active, billable
SITE_LOCATION
1625 N REPORT AVE
P_LOCATION
99
P_DISTRICT
002
Supplemental fields
FilePath
\MIGRATIONS\R\REPORT\1625\PR0523504\BILLING .PDF
QuestysFileName
BILLING
QuestysRecordDate
6/3/2016 10:54:34 PM
QuestysRecordID
3104544
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.
/
3
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
SPG 4# r TO: 0 E OF REVENUE AND RECOVERY <br /> y ) MTM TRANSMITTAL D <br /> ACCOUNT NO. DEPT.NO. REFERRAL O p U <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> AD FORCE PRIVATE SECURITY <br /> C/O NAME GUARANTOR SSN <br /> GEORGE GARCIA <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> AD FORCE PRIVATE SECURITY P.O. BOX 55331 STOCKTON CA 95205 209-462-7600 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO <br /> 5342 LA MIRADA WY STOCKTON CA 95212 209-462-8420 <br /> USER REFERENCE NO. BILL kTAT CYCLE STATUS DATE BMd CBM IN MONTHLY PAY AMT <br /> 12268 HAZMAT 3/15/12 RA4 DATE <br /> LAST - RECIPIENT - FIRST MI TITLE CIPIENT USER REFERENCE NO/NARRATI1-4 <br /> VE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT ICHARGE DEPT.N0. DESCRIPTION AMOUNT <br /> 230 042000.0 2012 Hazmat Fee $115.00 4 00 .01 1 <br /> 30 042 00o Hazmat Penalty Fee $11.50 04 00 .os 42 00o Sm Hw Gen <5 Tons/yr $213.00 4 00 .o8 0 2 00o Permit Fee Penalty $213.00 1 P43009.01 <br /> 8 0 2 o0 0 I State Surcharge Fee 1 $24.00 1 p8Q4 009.01 <br /> s 04290010 Electronic Surcharge Fee $25.00s 4 009.01 <br /> ?Bq 0200. 89 1 P43009.01 <br /> TOTAL 1 $601.50 <br /> PRIOR STREET ri qT ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> AD FORCE PRIVATE SECURITY 209-462-7600 <br /> EMPLOYERSTREET CITY ST ZIPCODE <br /> 1625 N REPORT AVE STOCKTON CA 1 95205 <br /> ST FIRST MI TITLEJ SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> AD FORCE PRIVATE SECURITY 209-462-7600 <br /> EMPLOYERSTREET CITY S <br /> 1625 N REPORT AVE S CKT N CA 95205 <br /> IDATE COQ. 20 (wse) <br />
The URL can be used to link to this page
Your browser does not support the video tag.