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SR0080838
EnvironmentalHealth
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DURHAM FERRY
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1680
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080838
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Entry Properties
Last modified
7/24/2019 2:38:42 PM
Creation date
7/24/2019 1:56:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080838
PE
4221
STREET_NUMBER
1680
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25510039
ENTERED_DATE
7/1/2019 12:00:00 AM
SITE_LOCATION
1680 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Ren tce Agreement <br /> Billing Information Number: 151,4 <br /> FLORES EXCAVATION AND DEMOLI Job Number: <br /> P.O BOX 1416 Original P.O.Number Rental Tax Percent0 <br /> PATTERSON.CA 95363 <br /> Terms' Net 10 Days Rental Tax Area No Tax <br /> MapGrici Service Tax Percent. 0 <br /> 1209)892-1099 NATALIE MapBook. Service Tax Area: No Tax <br /> SennceArea: <br /> Job Site Information Special Instructions: <br /> 1680 DURHAM FERRY RD <br /> TRACY.CA <br /> Cross Streets <br /> Drag.Wvr Delivery or <br /> Date Service or Unit Type Quantity Billing Method Price Per Minimum or Mimm. Trip Charge Deposit Taxable <br /> w-Jul-2019 Service As Requested I Each $000 $0.00 $0.00 50.00 $0.00 No <br /> it Unit Cost. $0.00 Delivery <br /> ft-Jul-2019 Septic Pump Domestic 1 Each $32000 $0.00 Weekly $7.50 $0.00 No <br /> t Start Service Unassigned Wed Extension $320.00 <br /> Service Service Subtotal Non-Taxable $320.00 <br /> Unit Route: Day: Subtotal Rental Taxable 50.00 <br /> Numbers Route: <br /> Service Taxable $0.00 <br /> Subtotal Rental Tax' $0.00 <br /> Subtotal Service Tax: $0.00 <br /> HIS IS A BINDING AGREEMENT. <br /> Customer agrees to the terms and conditions printed on the back TGrand Total: $320.00 <br /> Date <br /> Signature and TitlTCusto;r Representat e <br /> �1C Date Accepted lfJJf/ <br /> Accepted by Windmill Portables <br />
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