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t� <br /> Official Payments -Pay Taxes, Utility Bills, Tuition& More Online 2 <br /> J <br /> This is a "printer friendly" page. Please use the "print" option in your browser to print this <br /> screen. <br /> 1111 PAYMhTSS <br /> San Joaquin County-Environmental Health Department,CA <br /> Environmental Health Fees <br /> Confirmation Number: 00948G / Of 016'G <br /> Payment Date: Thursday, May 23,2013 <br /> Payment Time: 10:20AM PT <br /> Payer Information <br /> Name: George Converse Western Geo-Engineers <br /> Street Address: 1386 E. Beamer Street <br /> Woodland, CA 95776 <br /> United States <br /> Daytime Phone (530) 668 - 5300 <br /> Number: <br /> E-mail Address: wege@cal.net <br /> Please provide as much information as possible below so that we may identify <br /> your payment: <br /> Address of Facility <br /> where work is being 1876 Country Club Blvd <br /> done: <br /> Buisness Name: Sanchez Property <br /> Additional Public Works Right of Way Well Destructions C? &40 <br /> Information: fvncAe2! /��?Q� we/� dam( r C-? c,,cl/t <br /> f <br /> Card Information <br /> Card Type: Visa <br /> Card Number: ************9509 <br /> Expiration Date: 11/2015 <br /> Payment Information <br /> Payment Type: Environmental Health Fees <br /> Payment Amount: $1,500.00 <br /> Convenience Fee: $10.95 <br /> Total Payment: $1,510.95 Com+ <br /> M <br /> htt s://www.official a ents.com/ c_ste 6 rint. s ?JSESSIONID= tCcR MW FC1 zd... 5/23/2013 <br /> P Pym F F � JP• q P Q <br />