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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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574
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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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PUBLIC HEALT rERVIC:ES•, SAN JCiWIN COUNTY <br />445 N. San Jo .sin St. (NOT A MAILING ADDRESS) <br />P.O. Box 2009 <br />Stockton, CA 98201 <br />( ?09 ) 468-3427 <br />Jogi Khanna, M.D., Health Officer <br />,COTTS7 <br />SCOTTY'S BAIT & <br /> <br /> • TRACY, CA 99375 <br />may 7, 1351 <br />On ,laiivary :3, 1991 the above facility was Gilled for an <br />Underground d T ank: Facility. This fee is for your required Permit to <br />operate for the p=eriod .January 1, 1991 to December 31 • 1991. <br />INC 42 <br />Penalties 4ttye added to the rate of 100% of the past due amount <br />a of WIN- 3, 1991, The amount now due and payable is 0,188.00 <br />1%4 r+ y <br />If payment has been relit, please disregard this notice. ,?houid you have anj <br />questions regarding this billing statement, please contact this office at <br />( 209 ) 468-342S between 8:00 A.M. and 6:00 P.M. <br />Notify Public Health Services, <br />_,an Joaquin County of any <br />corrections or changes <br />necessary. Your permit will <br />be mailed upon receipt of <br />payment and approval of <br />facility. <br />Return payment along with one <br />copy of this statement to; <br />PUBLIC= HEALTH SERVICES <br />'RAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH PERMIT/SERVICES <br />P . W BOX 2009 <br />
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