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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BROADWAY
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1621
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3000 – Underground Injection Control Program
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PR0515035
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SITE HISTORY
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Last modified
2/11/2019 3:57:10 PM
Creation date
2/11/2019 3:03:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
SITE HISTORY
RECORD_ID
PR0515035
PE
3030
FACILITY_ID
FA0012021
FACILITY_NAME
WESTERN SQUARE INDUSTRIES INC
STREET_NUMBER
1621
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
1621 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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SAID JOAQUIN COUNTYV PUBLIC ,,.HEALTH SERVICES � <br /> ENV110'N.ME;NTAL HEALTH DTVI k —10- Report €5255 <br /> 304 E WEE3ER AVENUE _ 3RD R St'I •gent Printed'; 08/25/99 <br /> STOCKTON., CA 95202 <br /> AccGullting Office : 209 468--3420 <br /> . TO WESTERN' SQUARE_ INDUSTRIES INC <br /> 1621 N BROADWAY AVE <br /> r7count, # 0019074 <br />{ STOCKTON , CA 95205 <br /> ATTN : IARREN SNICIER ,VP OPERATIONS <br /> aci it TD 0120 <br /> 21 <br /> RE : WESTERN" SQUARE_' TNOUSTRIES INC <br /> 1621 N BROADWAY AVE r <br /> STOCKTON I - [ <br /> i <br />�. ;'EASE RETURN a COPY of THIS DATEXENT with YO; h PAYMENT <br /> -: <br /> f Service Ac:tiv.� ty <br /> Date Description Hrs Employee Amount <br /> Invoice 852438 -�– Date of Invoice : 06101/99 <br /> 05/11/99 3030 CONSULTATION 0 . 3, , ROWE $23 . 40 <br /> 06/01/99 3030 REPORT REVIEW 14 <br /> � Eitl�'iE $78 . 00 <br /> ?x6/01/99 .PAYMENT � 1 <br /> 06/04/99 3030 REPORT REVIEW. I $2.74 . 00 <br /> �. . e: RaWE $as . e0 <br /> 06/08/99 3030 REPORT REVIEW 0 . 5 R0i,JE" -$39 . 00 f <br /> 0 . 5RO�JE $39 . 00 <br /> 06/22/99 3030 FIELD CONSULT f <br /> : � <br /> 07/27/99 3030 REPORT REVIEW 1 . 0 R06E �' $78 . 06 <br /> 06/10/99 PAYMENT <br /> Total for this invoice: $78 00 <br /> Payment DUE DATE 0 .26/99 <br /> If this. INVOICE has been Paid, Please Disregard this Notice PA r <br /> v, SEP -8-M, <br /> SAN jG,A+.UIN':ti:EINTY <br /> PUBLIC:HEALTH 3E1�ViCES <br /> ty ENVIRONMENTAL HEALTH la1ViS10N f <br /> Forall SER IVICE FEES penalties will <br /> Penalties will be added on all Permits be added aG the rate of-10t 60 days <br /> . at the rate of 100% of the Base fee 30past invoi�oe date and each 3e days <br /> days after the due date, thereafter, <br /> TOTAL CINE this BilLing � period: $78.00 <br /> i <br /> Please make Checks PAYABLE to : j PHS /EHO <br /> JL <br /> I <br />
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