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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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4969
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2300 - Underground Storage Tank Program
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PR0231754
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BILLING
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Entry Properties
Last modified
1/2/2021 10:15:12 PM
Creation date
11/7/2018 9:27:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0231754
PE
2381
FACILITY_ID
FA0003750
FACILITY_NAME
C KELLEY TRUCKING
STREET_NUMBER
4969
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
08710022
CURRENT_STATUS
02
SITE_LOCATION
4969 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WATERLOO\4969\PR0231754\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/8/2017 6:49:41 PM
QuestysRecordID
3720866
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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PUBLIC HE H H SERVICES, SAN JOAQl l I N COU..;- <br /> 445 <br /> Ol' -445 N. San Joaquin Street NOT A MAILING ADDRESS) n/{� <br /> P.D. Box 2009 <br /> Stockton, CA 9520! <br /> (209) 468-3427 <br /> josi Khanna, M.0 , Health Officer <br /> KELLE49 <br /> C. KELLEY C. KELLEY TRUCKING <br /> 4969 E. . WATERLOO RD 4269 E. WATERLOO RD <br /> STOCKTON, G 9S20S STOC,:T 95205 <br /> Billing Statement For, 1992 Permit, Underground Tank Facility . <br /> Statement =•nu <br /> Gate . _ a; l 10, 199 <br /> PaymentDue Date February 10, 992 <br /> Container fee 000i 170.00"' <br /> TOTAL FEES DUE $170.00 <br /> NOTE's <br /> Notify Public Health Services, <br /> San joaquin County of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt o <br /> payment and approval of <br /> facility . <br /> Return payment along Witt't one <br /> copy of this statement to; <br /> PUBLIC HEALTH TH SERVICE <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HALT PERMIT/SERVICESPO. BOX 2009 <br /> STOCKTON, CA 9S201 <br /> Penalties will be added after. <br /> due date as Ehown; <br /> 30 days -- 100% of Base Fee <br /> A� 1 6 1992 <br /> SRN 10R4N t;dI�NTY <br /> MERL-TH ST[�D VF-S�ii <br />
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