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BILLING_PRE 2019
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PR0513949
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BILLING_PRE 2019
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Entry Properties
Last modified
7/25/2019 4:42:29 PM
Creation date
11/1/2018 1:47:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0513949
PE
2220
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\dsedra
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\1399\PR0513949\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/17/2017 10:01:54 PM
QuestysRecordID
3686702
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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JOAQUIN COUNTY PUBLIC H7' --,TH SERVICES Page 1 <br /> ,VIRONMENTAL HEALTH DIVIS. 1 <br /> ,04 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> A� INVOICE Account I AR <br /> Facility I FA0000916*)kl <br /> Date Printed 4/2 /00 <br /> �� <br /> ATTNC'GASOt-INE ACCOUNTING RE: 7 ELEVEN#19976* <br /> 7-ELEVEN, ING. 1399 N MAIN ST <br /> PO BOX 711 MANTECA CA 95336 <br /> DALLAS TX 75221 OWNER: SOUTHLAND CORPORATION <br /> Health <br /> Date Program Description His Employee Amount <br /> Invoice# IN0069288—Date of Invoice: 4119100 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#004 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $620.00 <br /> Payment Due Date 51241700 <br /> TOTAL DUE this Billing Periodz 620.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> atthe Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> MAY 11 MM P,<°,ti NfEN ' <br /> 'SAS & N[RGVfd ri'%RT E AMiI?MN' MAY 222WO <br /> SAN dC;;OUIN CGUN 11 <br /> PLISLI47"E LTH SER\';^.FS <br /> EIVVIROKW..::;rel NEn L7;-I"V":«,•. <br /> 5255.rpt <br />
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