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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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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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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMIf <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0009208 <br /> Facility ID FA0006743 <br /> Date Printed 8/7/2008—i <br /> ROGER D LUCICH RE : HOLT LEAK SITE <br /> CH2MHILL INC COOK RD <br /> PO BOX 241329 HOLT, CA 95234 <br /> DENVER, CO 80224 <br /> OWNER : SANTA FE PACIFIC PIPELINE PTRS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0177309---Date of Invoice: 5/30/2008 I11I11I111I111IIIVlII VIII VIII VIII VIII VIII VIII VIII VIII 111111111111111 IIII IIII <br /> Hrs Employee <br /> 5/27/2008 2960 315-REPORT REVIEW 1.50 GIRARDI $ 147.00 <br /> 5/28/2008 2960 315-REPORT REVIEW 1.00 GIRARDI $ 98.00 <br /> 5/30/2008 9999 PAYMENT ($ 60.00) <br /> Total for this Invoice $ 185.00 <br /> Payment Due Date 7/26/2008 <br /> TOTAL DUE this Billing Period $ r185.00 <br /> R CE VE0 <br /> AUG 7 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> j'1 -4.rpt <br />
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