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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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COUNTRY CLUB
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2103
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2300 - Underground Storage Tank Program
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PR0501782
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BILLING_PRE 2019
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Entry Properties
Last modified
1/19/2024 12:58:58 PM
Creation date
11/2/2018 6:23:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0501782
PE
2381
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2103\PR0501782\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/7/2012 8:00:00 AM
QuestysRecordID
113188
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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n _ A�iIOAQUIN LOCAL HEAL fH L'� � <br /> N,rf_.i i 1 E Welton Ave . <br /> I st.ockt:on, Ca 91201 <br /> jon Khanna, M .L7 . , Health Off7veP <br /> W.S. GILL FACiklit� GILLW21 <br /> 2103 COUNTRY CLUB <br /> 2 S. WILSON WAY STOCKOTN, CA 95204 <br /> STOCATON, CA 95205 <br /> corrected Statement. , FINAL NOTICE <br /> JUNE 02, i' <br /> On January 15,, 1'9 � the above facility was billed for an� Underground rank: <br /> this fee is for your required Permit. to operate for the period <br /> 1-aC7. i7.t'y . <br /> January 1 , 1'9 to December . 1 , 1988 . <br /> added t-• the rate of 100% of the past due amount for 1'8'R <br /> fees Only were a_+ a $1,200.00. <br /> fee=., nYFly as at March 15, 1958 1t-Fe a(ilc�unt. YIC�a' due a]-;r] Payable is <br /> if payrient has been sent, ?lease disregard this notice Should You have <br /> any questions regarding this billing statement., please contact this office, <br /> at ( 209) 468-342S between 800 A .M . and V00 F .N . <br /> Notify tin San Joaquin Local <br /> Health District of any corrections <br /> or changes necessary Your permit <br /> will be mailed upon receipt of payment- <br /> and approval of iacilit.y . <br /> Return Payment along with one copy <br /> of this statement. tc, ,. <br /> SAN JOAQUIN 4OCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH FERMI`ISERV10E.S <br /> P . O. BOX 20013 <br /> STOCK i ON, CA 9S201 <br />
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