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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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PR0513728
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BILLING_PRE 2019
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Entry Properties
Last modified
1/9/2019 11:35:51 AM
Creation date
11/1/2018 10:59:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0513728
PE
2220
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
01
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\800\PR0513728\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/7/2018 5:11:38 PM
QuestysRecordID
3821415
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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.VOAQUIN COUNTY PUBLIC HFTH SERVICES 40 Page 1 <br /> 4VIRONMENTAL HEALTH DIVISINF <br /> 04 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account/ AR0003211 <br /> Facility ID FA0003633 <br /> Date Printed4/24/00 <br /> ENVIRONMENTAL HEALTH&SAFETY RE: ARCO STATION#2076* <br /> ARCO PRODUCTS CO 800 E KETTLEMAN LN <br /> PO BOX 6038 LODI CA 95240 <br /> ARTESIA CA 907026038 OWNER: ARCO PRODUCTS CO <br /> Health <br /> Description His EmplAmount <br /> oyee <br /> Date Program P <br /> Invoice# IN0069489—Date of Invoice: 4119100 <br /> $100.00 <br /> 4/1912000 2220 SM HW GEN<5 TONSNR <br /> Tank#007 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#009 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank It 010 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $790.00 <br /> Payment Due Date 5/2412 <br /> TOTAL DUE this Billing Period $790.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee 60 Da after the Invoice Date and each 30 thereafter <br /> 30 Days after the Due Date >� <br /> SAN JOAUUIN CEROOF6 to,- <br /> ,,Bur HEALTH - <br /> ENVIRONMENTAL HEi�LTH <br /> 5255.rpt <br />
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