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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0508132
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
10/4/2018 3:04:48 PM
Creation date
10/4/2018 2:49:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
Scanner
DSedra
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMF "T <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />EVANS, DAVID <br />ARCADIS U S INC <br />10470 OLD PLACERVILLE RD STE 110 <br />SACRAMENTO, CA 95827 <br />14 Page 1 <br />Account ID <br />AR0014731 <br />Facility ID <br />FA0007953 <br />Date Printed <br />4/24/2008 <br />RE: CHEVRON #9-5775 <br />301 KETTLEMAN LN <br />LODI, CA 95240 <br />OWNER: CHEVRON USA PRODUCTS CO <br />Date Health <br />Program Description Amount <br />Invoice # IN0175257 --- Date of Invoice : 4/23/2008 <br />3/10/2008 2957 310 - FIELD CONSULT <br />11111111 IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />Hrs Employee <br />2.00 KNOLL $ 196.00 <br />Total for this Invoice $ 196.00 <br />Payment Due Date 5/24/2008 <br />TOTAL DUE this Billing Period $ 196.00 <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be added to all Permit Fees For OES / HMMP Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />254 rpt <br />
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