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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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Ft Llt: HEALTH . E S; ; 3o7A(Ui-W`COUNT Y <br /> • 1601 E. ua7eI4.rrL.Ave., P.O. Box M <br /> Stockton; CA 552:11 <br /> {'}` ) x--5425 <br /> jcgi ' tame, M.D-, Hi-,aIth Cifficer <br /> It.ELLE 'i PA yAqje� <br /> C. KELLEY TR'UC�� � <br /> c. :ELLfY ING RFCEIV <br /> 4959 E.- WA I ER:L G RD 45h5 E. WATERLOO Rei JAM <br /> ti:T11a,'TON, CA,; •S211) : Ti :�:TUd, SCA 9520_ 5 �2 1gg� <br /> P(!$N JOA UIN C <br /> ENVIRONME aA <br /> Sillirog Statement. Far l 'aU remit+ UE,d r rc&� iarik Facility. <br /> Statement Qate ; Janua°r y :2' . 1390 <br /> Payment. Due Crate; Fet<ruary 2, 1`igo <br /> Facility Fee: l +f r` <br /> Container Numster. <br /> TAL FEE: CRIE $200.00 <br /> NINES; <br /> - f <br /> Notify Public Health '1eT-vic_•s; <br /> San; Joaquin Cuinty of any <br /> corrections or charrges <br /> necessary. Your per:rsit will <br /> to msailoi ipuf-s Tece,Rt of <br /> payment and approval of <br /> facility. <br /> +' Peturn payrrs.Lnt along with one <br /> copy of this statement tot <br /> PUBLIC HEAL I#H SER A:Ey <br /> EN'dlRC+t N.AL HEALTH PECtMlT15Ef JICES <br /> P.O. Rax 2(09 , <br /> STGU,TuN, CA gyms! <br /> rerkit.ies Will tie addeu" aft.eg• <br /> due tate as shown! <br /> 30 days - 100% cif mase Fee <br /> i <br />
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