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BILLING PRE 2109
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PATTERSON PASS
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25775
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2200 - Hazardous Waste Program
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PR0513775
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BILLING PRE 2109
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Entry Properties
Last modified
5/13/2019 9:52:38 AM
Creation date
1/30/2019 4:20:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2109
RECORD_ID
PR0513775
PE
2220
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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r <br /> SAN JOAOUIN COUNTY PUBLIC I LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0003197 <br /> 03619 <br /> 00 <br /> . � Facility ID FA����� <br /> Date Printed 1/31/01 <br /> ENVIRONMENTAL HEALTH&SAFETY RE : ARCO STATION#6100* <br /> ARCO PRODUCTS CO 25775 S PATTERSON PASS RD <br /> <br /> OWNER: ARCO PRODUCTS CO <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079393---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#009 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#010 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#007 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $1,017.00 <br /> Payment Due DateTOTAL DUE this Billing 4/--�3/212001 <br /> ,017.00 <br /> Please make Checks PAYABLE to: PHSIEHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> RECENF <br /> FEB 22K" <br /> SAN JOAQUIra :. <br /> PUBLIC HEAL!I Sf <br /> FNVIRONMWN, <br /> D1� <br /> 2001 <br /> ', ENV,COMpLiANC�. �. <br /> 5255.rpt <br />
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