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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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�i T nr IT -1 IT'i <br /> �'UBI lC HEA SERVICES, SAN :iLwi,JIN Ci-J �;Y <br /> 445 'N. carl .ToaM _n Sir_aet (NOT A MATLING ADDRE: : <br /> ;n;. 200' <br /> vtock-onl, CA 93520i <br /> _,. 46'8-342 <br /> .i,gi Khanna, M.D. , Health <br /> oJffi._=r <br /> IK -LE49 <br /> r r r it ! 1 <br /> KELLEY _ EY' RUC.=.Ih <br /> 49 69 c. . r.'AiERLUL 4r . C. IJ A <br /> A IG UO' RD <br /> CA STOICKTOINI 0A <br /> T :^i_i i r__ err.-. i , jI .jf�1 , i_ r' t.y , <br /> E.i 11 Y-1'g, 'Stat emeni . Fu-r 19? Permit, nde-r-r u:iL %t ilk: rdCll'_ <br /> Staterfienit. Date January 1, 19 <br /> Payment Due Date; February 1, _3S <br /> T_T_AL FEE. D1 1E :1:1t.{= ' <br /> NOTE' <br /> Notify Public Health Se; Vices, PAYMENT <br /> San! 3oaquin County of arry <br /> corrections or changes RECEIVED <br /> necessary . Your permit. will JAN 2 0 1993 <br /> be mailed upon receipt of <br /> payment and approval of SAN JOAQUIN COUNTY <br /> facility. PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISK! <br /> Return payment along wird one <br /> copy of this s+atement to; <br /> PUB-11c: iiEALTH .ERVIC:E'_ <br /> SAN TOA UIN COUNTY <br /> ENVIRONhiENTAL HEALTH PERM IT/SERVICES <br /> P.O. BOX 2009 <br /> STClCKTON, CA 95201 <br /> Penalties will be added after <br /> due date a5 shown; <br /> 'IJ days - 100% of Bz Fe: <br />
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