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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0505378
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/18/2019 11:17:21 AM
Creation date
6/18/2019 10:32:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505378
PE
2960
FACILITY_ID
FA0006743
FACILITY_NAME
HOLT LEAK SITE
STREET_NUMBER
0
STREET_NAME
COOK
STREET_TYPE
RD
City
HOLT
Zip
95234
CURRENT_STATUS
01
SITE_LOCATION
COOK RD
P_LOCATION
99
QC Status
Approved
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EHD - Public
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ort 020, <br /> 1O�SANSANt.lT.1� �iht1 !'T ' PtJE3M kEAL.T ICE.. .P <br /> ENV�tV.TENTAL HEALTH Oz ON silirment Printed : t <br /> JrL3ER AVENUE - 3Rt? 'f1QF <br /> :. t w r <br /> CT�( 0,-d , CA 9520 2 t <br /> Aycc,untirlg office , 09 468 -2420 <br /> e . <br /> TO : LEVINE FRICKE 1 Fun'L 1 0009208._ <br /> E 1.9@6-P©WE'LL. ST STE 1200 <br /> EMER,YVILLE , CA <br /> !" cility ID 00674.3 <br /> ATTN , GREG TAYLOR <br /> u <br /> 2E : HOLT LEAK SITE <br /> COOK: RE) <br /> HOLT <br /> plE9SE fiETURN a CDPY of TRIS STP,TEtlENT vith YOUR pR','hEti ��T^x�� �• �� <br /> __,_ .._.__..._...--��•��:_..... ...�-�:«:,•._..,__.___..._._�.„;....:.�.�._-w.-::::mow......,.___.,_.... S e Y `hl C C�F1 ct 'I1 tY m..____._:....•.-.�;.=---- <br /> Hr's Emplayt e Amount <br /> Date Description <br /> Invoic^ 4 1319"26 Date of Invoices0 . <br /> J 1, �9a 29 O wEPORT REVIEW -- �O` <br /> OF _—__"__----- - - <br /> on/11 /9a 1 Tots] forthis_f rivoace . °'39 .00 <br /> Payment 00E OATF 07 9r? <br /> If this INVOICE has been Paid, <br /> Please Disregard this Notice <br /> PAYMENT <br /> SEP 2 3 1998 <br /> 5 <br /> SAN JUAC1UiN <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALT H DIVISi()r; <br /> For all SERVICE FEES Penalties will <br /> Penalties will be added on all Permits <br /> be added at the rate of 10% 60 days <br /> Past in'.'oice date and each 30 days <br /> at the rata of 100% of the Base Fee 30 thereafter. <br /> days after the due date. -- <br /> TOTAL DUE this Billing Period : $39 . 00 <br /> plea-e make Checko PAYARLF t0 : <br /> 4. <br /> 1^ <br /> °'1 <br />
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