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BILLING_PRE 2109
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231525
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BILLING_PRE 2109
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Entry Properties
Last modified
2/7/2024 1:08:12 PM
Creation date
11/5/2018 12:20:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2109
RECORD_ID
PR0231525
PE
2381
FACILITY_ID
FA0003770
FACILITY_NAME
SHAWVER, WILLIAM L JR, TR ETAL
STREET_NUMBER
916
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14324007
CURRENT_STATUS
02
SITE_LOCATION
916 N BROADWAY AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BROADWAY\916\PR0231525\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
1/25/2012 8:00:00 AM
QuestysRecordID
107184
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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PUBLIC HEALTH SERVICES Y...4�.N <br /> a� <br /> SAN JOAQUIN COUNTY Q' + <br /> N: X <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 (1601 East Hazelton Avenue) • Stockton,California 95201 <br /> C4CI FOPdP <br /> (209) 468-3400 <br /> Shawver Trucking Company, Inc. <br /> <br /> ) <br /> BILLING STATEMENT <br /> UNDERGROUND STORAGE TANKS <br /> FACILITY LOCATION: 916 N. Broadway, Stockton, California. <br /> Billing for 1986- 1990 fees for Tank #0002 at the above facility <br /> address: <br /> Statement Date: December 31, 1990 <br /> Payment Due Date: January 31, 1991 <br /> Facility Fees: $00.00 <br /> Container Fees: <br /> Tank 0002 $ 250. 00 <br /> State Surcharge <br /> Fee: <br /> Tank 0002 56. 00 <br /> TOTAL AMOUNT OF FEES DUE: <br /> $306. 00 <br /> If you have any changes or <br /> correctionsplease call our <br /> office when statement is <br /> received at (209) 468 3420. <br /> Penalty's will be added after <br /> the due date shown. <br /> 30 - days at 100% of base fee. <br /> Please remit with payment one copy of this <br /> statement to : <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE <br /> STOCKTON, CA 95205 <br /> Nw vision of San Joaquin County Health Care Services <br />
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