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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SANTA FE
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23569
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2300 - Underground Storage Tank Program
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PR0504276
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BILLING_PRE 2019
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Entry Properties
Last modified
12/17/2019 3:59:17 PM
Creation date
11/6/2018 12:31:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0504276
PE
2381
FACILITY_ID
FA0006149
FACILITY_NAME
RANCH MARKET
STREET_NUMBER
23569
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
RIVERBANK
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
23569 S SANTA FE RD
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\S\SANTA FE\23569\PR0504276\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
9/27/2017 3:43:37 PM
QuestysRecordID
3651014
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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w• <br /> HEAL <br /> , SAN JOAQUIN COUNTY N. S= t Toa � - at �YetN'TM4iLi CADORE <br /> �ys <br /> P.O. , <br /> Stockton, CA 9520! <br /> (209) 460-3427 <br /> Jogi Khanna, 00 , Health Officer <br /> RANCH MARKET RANCH23 <br /> 23669 S SANTA FE RD RANCH MARKET <br /> RIVERBANK, CA 9S267 23569 S SANTA FE RD <br /> RIVERBANK, CA 95397 <br /> Billing Statement For <br /> 5-�,[T <br /> c'r+!.1 t•i Underground rPt.F�"'i v! F%idP 1'J =:1!!'t Facility. <br /> Statement <br /> rci}'!iient DueDate; February i j 1992 <br /> I <br /> Previous Balance <br /> Facility Fee: 0 .00 <br /> Container fee .� <br /> _ ti,iii) <br /> . .-tate surcharge rchar e lit 0 <br /> Container fee 0001 170,0,,-'j <br /> 1 S6,00 <br /> 0002 5000 <br /> 0002 170,vi <br /> State surcharge 0002 S6.00 <br /> Container 7fer fee 00:�3 <br /> - <br /> 0,00 <br /> NOTES; <br /> State ur cherg 0003 56.00 <br /> Notify Public Health Services, Container fee - 170.0 <br /> San :-%- <br /> •_�i:!qu i!I Count t ilt any -----{ r,-• '._--..,.--_-- <br /> corrections oges TOTAL FEES DUE $1,070.00 <br /> necessary, your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statement to; <br /> PUELIC HEALTH SERVICES <br /> SAN _TrlAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> F.O. BOX 2009 <br /> STOCKTON, Cry 95201 <br /> Penalties will be addej after <br /> due date as shown,, <br /> o ,lays - 100% Of Esse f=ee <br />
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