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BILLING PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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2300 - Underground Storage Tank Program
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PR0231405
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BILLING PRE 2019
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Entry Properties
Last modified
2/29/2024 1:16:56 PM
Creation date
10/26/2018 2:04:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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r4-yeL I C. HE SERVICES, SAN JOAQU I N C O NTl 1 <br />44S N. San Joaquin Streit «►CET A MAILING ADDRE & <br />P.D. Box 2009 <br />• <br />Stockton, CA 95201 <br />E t C:O9; 468-3427;, <br />7 <br />Jogi Khanna, M.D., Health Officer <br />SCOTTY'S BAIT h TACKLE, INC # <br /> <br /> <br />SCO T TS+7 <br />SCOTTY'S BAIT & TACKLE, INC: # <br />S74 W. ORAN TL I NE <br />TRACY, CA 9S376 <br />Billing Statement. For 1992 Permit, Underground Tank Fac i l i ty - <br />'statement. Date i .January 10, 1992 <br />Payment. Due Date; February 10, 1992 <br />NOTES, <br />; <br />Previous Balanc <br />Facility Fee; <br />Facility Fee; <br />Container flee <br />State surcharge <br />Container fee <br />State surcharge <br />Notify Public Health 'services, Container fee <br />San Joaquin County of any <br />corrections or changes <br />necessary. Your permit will State surcharge <br />he Nailed upon receipt of Container fee <br />payment and approval of <br />facility. <br />Return payment along with one TOTAL FEE'S DUE <br />copy of this statement to; <br />PUBLIC HEALTH 'SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH PERMIT/SERVICES <br />P.O. BOX 2009 <br />STOCKTON, CA 99201 <br />Penalties will be added after <br />due date as shown: <br />30 days - 100% of Ease Fee <br />000? <br />000 <br />0001 <br />1 <br />0001 <br />i 1()01 <br />0002 <br />000 <br />0002 <br />0002 <br />0002 <br />0003 <br />0003 <br />0003 <br />0003 <br />0003 <br />418.00- <br />100.00 <br />100.00 <br />_;,(tit <br />50.00 <br />0 <br />56.00 .00 <br />70.00 <br />170. 00 <br />so , 00 <br />5th . 00, <br />170 . oO <br />56.00 <br />170.00 <br />60.00 <br />Woj <br />L6.00 <br />r 170,00 <br />17it,OQ <br />YU <br />
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