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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0543411
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/1/2019 10:03:56 AM
Creation date
4/1/2019 10:02:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543411
PE
2950
FACILITY_ID
FA0024640
FACILITY_NAME
ZACKY FARMS
STREET_NUMBER
1111
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16326007
CURRENT_STATUS
01
SITE_LOCATION
1111 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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• r <br /> n San Joaquin County Environmental Health <br /> S A N ��O A Q U I N 1868 E. Hazelton Ave. Stockton CA 95205 <br /> —COUNTY— (209) 468-3420 <br /> r, <br /> Greatness grows here. <br /> Receipt <br /> Payment Date 05/23/2018 02:10 PM PST Payment Status AUTHORIZED <br /> Confirmation Number 78970130 <br /> Payment Method Credit Card (VISA) ************6849 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 00533G <br /> AVS Response Y CVV2 Response M <br /> Bill To _ _-- <br /> Ruxandra Niculescu <br /> 105 Evesboro-Medford Rd , Marlton, NJ - 08053 US <br /> Payment Towards <br /> Payment Towards Service Request Or Well Amount $152.00 <br /> Permit <br /> Site Address 1111 Navy Dr, Stockton CA Business Name Zacky Farms <br /> Phone Number 9163850202 <br /> Charge Information <br /> Agency Amount $152.00 <br /> LexisNexis Service Fee $3.48 <br /> Total Amount $155.48 <br /> Click here for a printer friendly receipt <br /> Your payment was made through paymentsolutions.lexisnexis.com,one of the LexisNexis VitalChek Network Inc. portals. <br /> For business or technical support, please send an email to paymentsolutions@lexisnexis.com. <br /> For San Joaquin County Environmental Health support, please call (209) 468-3420 <br /> LexisNexis- <br /> Home i Payment Solutions Contact Us <br /> Terms and Conditions Privacy Policy <br /> AICPA ��� TRUSTO <br /> soc •(��►Certified Privacy <br /> Copyright @ 2018 LexisNexis Risk Solutions. All rights reserved. 154:147.78821:]B6 <br />
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