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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514378
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BILLING_PRE 2019
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Entry Properties
Last modified
5/22/2019 2:05:38 PM
Creation date
11/1/2018 10:57:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0514378
PE
2220
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0514378\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/9/2018 10:48:23 PM
QuestysRecordID
3824864
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL,HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0003356 <br /> INVOICE <br /> Facility ID FA0003776 <br /> Date Printed 7/18/2018 <br /> KWIK SERV* RE : KWIK SERV* <br /> <br /> LODI, CA 95240 <br /> OWNER : B &W PETROLEUM #113 <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0309455---Date of Invoice: 7/18/2018 11111 1111 111111 11111 1111 IN <br /> 7/18/2018 0001 TRANSFER FEES/NAME CHANGE $ 25.00 <br /> 7/18/2018 0001 TRANSFER FEES/NAME CHANGE $ 25.00 <br /> 7/18/2018 0001 TRANSFER FEES/NAME CHANGE $ 25.00 <br /> Total for this Invoice $ 75.00 <br /> Payment Due Date 8/17/2018 <br /> TOTAL DUE this Billing Period $ 75.00 <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />
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