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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0518412
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BILLING_PRE 2019
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Entry Properties
Last modified
3/3/2021 10:06:24 PM
Creation date
11/2/2018 9:39:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0518412
PE
2381
FACILITY_ID
FA0013893
FACILITY_NAME
HANKS AUTO REPAIR
STREET_NUMBER
511
Direction
N
STREET_NAME
AMERICAN
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13916607
CURRENT_STATUS
02
SITE_LOCATION
511 N AMERICAN ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\AMERICAN\511\PR0518412\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/5/2011 8:00:00 AM
QuestysRecordID
100662
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP)dTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0023420 <br /> LWMNNMMMNNNEENM <br /> Facility ID FA0013893 <br /> Date Printed F 7/24/2002 <br /> LUMMOOMMMMMA <br /> KEIKO SHINMOTO RE : HANK'S AUTO REPAIR <br /> HANK'S AUTO REPAIR 511 N AMERICAN ST <br /> <br /> <br /> OWNER: SHINMOTO,KEIKO <br /> -- -- -Health — - ----- - -- <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0097323.—Date of Invoice: 612812002 <br /> 6/28/2002 9900 UST TANK FEES �(� OS/S L.3s $170.00 <br /> 6128/2002 9900 UST TANK FEES $170.00 <br /> 6/28/2002 9900 UST TANK FEES $170.00 <br /> 6/28/2002 9900 UST TANK FEES $170.00 <br /> 6/28/2002 9904 UST PENALTIES(TANK) $170.00 <br /> 6/28/2002 9904 UST PENALTIES(TANK) $170.00 <br /> 6/28/2002 9904 UST PENALTIES(TANK) $170.00 <br /> 6/28/2002 9904 UST PENALTIES(TANK) $170.00 <br /> 6/28/2002 9904 UST PENALTIES(TANK) $500.00 <br /> 6/28/2002 9904 UST PENALTIES(TANK) $500.00 <br /> 6/28/2002 2320 Underground Storage Tank EH Operating Permit Fee $500.00 <br /> 6/28/2002 2320 Underground Storage Tank EH Operating Permit Fee $500.00 <br /> Total for this Invoice $3,360.00 <br /> Payment Due Date 8/23/20 <br /> TOTAL DUE this Billing Period 3,360.00 <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 r+aye afte•the Due Data 60 Days after the Invoice Date and each 30 thereafter <br /> PAY MEN-i <br /> RECEIVED <br /> AUG - 2 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRPNIENTAL HEALTH DIVISIOPi <br /> 5255.rpt <br />
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