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BILLING PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514289
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BILLING PRE 2019
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Last modified
8/26/2019 9:40:16 AM
Creation date
8/26/2019 9:37:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0514289
PE
2220
FACILITY_ID
FA0010341
FACILITY_NAME
O'REILLY AUTO PARTS #2769
STREET_NUMBER
6404
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
081-260-27
CURRENT_STATUS
01
SITE_LOCATION
6404 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SAN JOOXlUIN COUNTY Page 1 <br /> ENVIRIONMENTAL HEALTH DEPART AT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account D AR0017341 <br /> Facility Io FA0010341 <br /> Date Panted 2/27/2003 <br /> KRAGEN AUTO PARTS#4049 RE : KRAGEN AUTO PART #1144 <br /> <br /> STOCKTON, CA 95207 <br /> OWNER : CKSAUTO INC <br /> F Date Health <br /> Pr_'r?m Description Amount <br /> I — <br /> Invoice# IN0103792—Date of Invoice: 2/2712003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 270.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 487.50 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 487.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 4 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMFNTA,HFAITH DIVISION <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />
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