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SR0080241
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080241
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Entry Properties
Last modified
4/12/2019 9:59:06 AM
Creation date
4/12/2019 9:45:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080241
PE
4221
STREET_NUMBER
9690
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20111001
ENTERED_DATE
2/22/2019 12:00:00 AM
SITE_LOCATION
9690 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
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Renal and Service Agreement <br /> jBilling Information Number: 014654 <br /> REPUBLIC SERVICES Job Number: <br /> 1145 W.CHARTER WAY Original P.O. Number: Rental Tax Percent: 0 <br /> STOCKTON,CA 95206 Terms: Net 10 Days Rental Tax Area: No Tax <br /> MapGrid: Service Tax Percent: 0 <br /> (209)547-7514 MARICELLA MapBook: Service Tax Area: No Tax <br /> ServiceArea: <br /> IJob Site Information Special Instructions: GO TO OFFICE BEFORE PUMPING <br /> 9690 AUSTIN RD. <br /> STOCKTON, CA <br /> (209)969-9952 REUBEN <br /> Cross Streets: Dmg.Wvr. Delivery or <br /> Date Service or Unit Type Quantity Billing Method Price Per Minimum or Minim. Trip Charge Deposit Taxable <br /> 20-Mar-2019 Commercial Pump I Each $0.00 $0.00 $0.00 $0.00 $0.00 No <br /> Unit Cost: $0.00 Delivery <br /> 20-Mar-2019 Septic Pump Commercial 1 Each $320.00 $0.00 Weekly $7.50 $0.00 No <br /> Start Service Unassigned Wed Extension $320.00 <br /> Unit Service Service Subtotal Non-Taxable: $320.00 <br /> Numbers Route: Day: Subtotal Rental Taxable: $0,00 <br /> Subtotal Service Taxable: $0,00 <br /> Subtotal Rental Tax: $0.00 <br /> Subtotal Service Tax: $0.00 <br /> Custorner agrees to the terms and conditions printed on the back. THIS IS A BINDING AGREEMENT Grand Total: $320.00 <br /> Signature and Title of Customer Representative Date <br /> Accepted by Windmill Portables Date Accepted <br />
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