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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CHARTER
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1904
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2300 - Underground Storage Tank Program
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PR0504298
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BILLING_PRE 2019
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Entry Properties
Last modified
9/23/2024 2:34:16 PM
Creation date
11/2/2018 4:45:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0504298
PE
2381
FACILITY_ID
FA0006156
FACILITY_NAME
PURE GRO/BREA*
STREET_NUMBER
1904
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16302041
CURRENT_STATUS
02
SITE_LOCATION
1904 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CHARTER\1904\PR0504298\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
5/29/2012 8:00:00 AM
QuestysRecordID
117563
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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_ UNURGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> F F/CILIIY;—el NAAE —'- FACILIIY CONTACT NAME <br /> S <br /> Pure9ro Company Areo <br /> I STREET ADDRESS SITE PHONE I Ivlth Are1 Coda) <br /> II 1904 W Charter Way (209) 466-2041 <br /> YICIIY SI E iIP CODE 1 of TANK'S <br /> StocktAA APS PIIQANIId LLINIi�NA11E �� APF�f•ANTICONIAL'T NAME --�—� <br /> IF, <br /> same - — —� <br /> IINAILING ADDRESS APPLICANI PHONE I (vith Area CodvI <br /> CI <br /> I" tfY <br /> STATE IIP CODE TYPF. al APPLICATION Tank Removal <br /> Kiwiye, Installation, Ac.) - <br /> t � 1 <br /> I FACILITi Rt 11'0.00 Pilch SITE ADDRESS per YEAR — - - TOTAL <br /> A,:'I 1986 1981 <br /> _27- <br /> 38 19Q9 j_ — I <br /> LITANK FEE = 151J.00 ea(h TANK <br /> F�/ Tanks _ i 156.00 1986 1387 TI��1388 1333 <br /> -!AI <br /> yea <br /> nultlyki I by fee for -•-- ==--I-'-_ � <br /> i 1� I cfi r apfluablel <br /> ILISIATT. SURCHARGE % $56.00 RA..h TANK Ilea CA HEALTH L SAFETY CODE Sec 25181 for applicability) -- <br /> 11 1 Tank,_ _ _ r 156.00 r 1306 1 1381 J988 198 <br /> kdtealer ailuro) and year - ^— <br /> __ <br /> I <br /> IrCIPrRMANENI CLOSURE (Removal or Closure In play ) <br /> OICLQSURE FEE - 190.00 ea.-h fANk t.eu• 7 + LOA All �• fan nn <br /> x�.EIK <br /> DATE«.... M.MOUNT RICH-MART 10498 <br /> JIM THORPE, DISTRIBUTOR OF QUALITY PRODUCTS <br /> P.O. BOX 357 368-6175 4624681 <br /> 351 N. BECKMAN ROAD OD84UMI <br /> LODI. CA 85241-0357 1 D <br /> PAY <br /> ORD�HE pF i /O <br /> tv DOLLARS <br /> TOTAL OF INVOICES - <br /> EE` �GIECOUNT FARMERS a <br /> LEW MERCHANTS - <br /> TOTAL OEUVCTIONS BANK E�Sf5A11Y <br /> MMOJNT OF CHECK <br /> TOTAL DITE I <br /> OfF(IE USE 011(y <br /> k`. i 5 4 Ir,OHP t DOC CODE DISI LODE AMOUNT pUE TA"OUNT7- <br /> SN R0 /Y DATE RECEIVED PERMIT <br /> C -- -� <br /> N /is 7y pVRE ri 3L y <br /> I. ,I <br />
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