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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOLDEN GATE
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1538
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2300 - Underground Storage Tank Program
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PR0503406
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BILLING_PRE 2019
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Entry Properties
Last modified
2/10/2021 11:01:36 AM
Creation date
11/5/2018 8:50:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0503406
PE
2332
FACILITY_ID
FA0005835
FACILITY_NAME
STANFUL, EDGAR
STREET_NUMBER
1538
STREET_NAME
GOLDEN GATE
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
1538 GOLDEN GATE AVE
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GOLDEN GATE\1538\PR0503406\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
5/6/2013 8:00:00 AM
QuestysRecordID
156872
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SA)I JOAAUIN COUNTY PUBLIC HEALTH SERVICES <br /> EYVIRONMENTAL NEALTH DIVISION <br /> IL1TY SITE MAI! IRDERGROLM STORAGE TANK PROGRAM - FEE WORKSHEET <br /> fAC <br /> FACILITY CONTACT NAME <br /> c <br /> ti �D��2 STS} vF u L <br /> l FACILITY ADDRESS <br /> SITE PHONE <br /> 9�3R with AREA CODE <br /> I S N, oC 0EN �'q7� 10 �o l <br /> T CITY SCCt N STATE ZIP CUBE S of TANKS <br /> A SZ 0 Rt SITE I <br /> F APPIICAN7/f ILLING NAME APPLICANT CONTACT NAME <br /> I xA1LIxc ADDaEu <br /> c 2 D� c APPLICANT PHONE IN WITH AREA E <br /> N <br /> CITY L. )TATE 2IP CODE TYPE of APPLIG11O1 <br /> TaKTo�v L/t CLOSURE, INSTALUTION, <br /> A TOTAL <br /> T ANNUAL FACILITY FEE (Pr1or t0 JN1rNrry 1, 1991) • f100.00 1986 1987 1986 1989 1990 <br /> 1 S <br /> _Y <br /> 1_..19911 <br /> - UNION SAFE DEPOStt BANK <br /> <br /> sGmcO <br /> 6E NEItRL ENCINEHkINC & ENVIgLINMHrvT qL CONtk 0.CTOq �_ l 0 <br /> 431 W. HATCH RD 12091 524 96')3 1LJ <br /> MODESTO,CALIFORNIA 95351 <br /> PAY .. IDM 4^ / flit t IIff r <br /> �� LG cS ��T � DOLLARS o0 <br /> TO THE ORDER OF DATE CHECK NO. AMOUNT <br /> Tt , ��a <br /> 1 '/ I SLMCN) <br /> I�L�Al) 7 <br /> M <br /> 1 TRANSFER FEE • 120.DO AAA MORIZED RELEASE EVALUATION • S53.00/hr f <br /> 5 <br /> C CONSULTATION FEE • S53.00/hr SAMPLING INSPECTION FEE • S53.00/hr I If <br /> TOTAL DUNE fS%O <br /> '.W. . ::- <br /> —iia F1111 ill I rm <br /> !TT LIAHE RECEIVED <br /> i!� ' Yb <br /> 142 z o z <br /> EN 23 032 (RNrvlo.d 4/0/91) Ps" 11 <br />
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