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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LINDBERGH
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1795
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2300 - Underground Storage Tank Program
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PR0231641
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BILLING_PRE 2019
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Entry Properties
Last modified
2/23/2022 8:21:07 AM
Creation date
11/5/2018 5:01:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231641
PE
2381
FACILITY_ID
FA0003823
FACILITY_NAME
FAA - SCK
STREET_NUMBER
1795
STREET_NAME
LINDBERGH
STREET_TYPE
ST
City
STOCKTON
Zip
95206
CURRENT_STATUS
02
SITE_LOCATION
1795 LINDBERGH ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LINDBERGH\1795\PR0231641\BILLING.PDF
Tags
EHD - Public
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CPG ft __ TOI OFFICE OF THE COLLECTOR <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. <br /> 0410001 ! 01 T10 1 92 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> Dept. of Transp. FAA Wm. Copeland <br /> I <br /> C!O NAME GUARANTOR SSN <br /> Fe eral Ayi tin d / it T f is <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 15000 Aviation Blvd. Hawthorne CA 90206 <br /> , 1 I <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 7 in a St c op I I I I I I <br /> CI <br /> USER REFERENCE NO. e1��srA �,'E STATUS,DATE M C0 INT DATE <br /> MONTHLY PAY AMT RYMT R pp., <br /> W EDATE TERM D <br /> Un a ground Tank a ov 1 <br /> CHARGES <br /> LAST - RECIPIENT- - FIRST MI TITLES RE CDIDINT. USER REFERENCE NOiN ARRATIVE <br /> I <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> 08 3 91 <br /> HADD DESCRIPTION AMOUNT HAR' <br /> -E DEPT NO DESCRIPTION, <br /> 380 0410001 UGT Removal 185 ; 50 <br /> 3PQ pJ190PI ! Penalty 3 6 <br /> I I I I I I I U�! ✓3r/� '<,^'n f ISI�: � 1 I 1 1 1 1 1 1 t _1 I l l i I _ <br /> 1 <br /> I I I - <br /> I I <br /> I I I II I I I I�_1 I I I I I I I i <br /> I <br /> I I I <br /> TOTAL 4'46 <br /> GUARANTOR <br /> D�B DR LIC NO AUTO LIC NO (-y <br /> PRIOR STREET CITY ST ZIP CODE <br /> ! <br /> 1 <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> I I I I 1 1 I I <br /> EMPLOYER STREET CITY., ST ZIA CODE <br /> I . I I <br /> SPOUSE <br /> LAST FIRST MI TI LE SOC SEC NO. DOB OR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> i <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> PREPARED BY C CKED BY ,"" I DATE <br /> E) COL. V 13'051 <br /> o+ti .. .,. _{�.r.M/O.�,wYM++..n•lWenii .r!�;-+`u`�-:�}rYP.. l_...........� �"�'.�'n�.°. .._.__..._.�. <br />
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