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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6131
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2300 - Underground Storage Tank Program
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PR0231223
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BILLING_PRE 2019
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Last modified
12/16/2019 4:25:53 PM
Creation date
12/16/2019 3:24:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0003361 <br /> Facility ID FA0002324 <br /> Date Printed 2/5/2002 <br /> PACIFIC AVE SHELL RE: PACIFIC AVE SHELL <br /> 6131 PACIFIC AVE 6131 PACIFIC AVE <br /> STOCKTON CA 95207 STOCKTON CA 95207 <br /> OWNER: EQUILON LLC ENTERPRISES LLC <br /> Health <br /> Date Program Description Sirs _n:P1oysC Arnoun, <br /> t <br /> Invoice# IN0090633---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2362 Underground Storage Tank EH Operating Permit Fee Tank#004 $500.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underqround Storaqe Tank EH Operatinq Permit Fee Tank#005 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> Total for this Invoice $797.50 <br /> Payment Due DateX7/2002 <br /> TOTAL DUE this Billing Period $797.50 <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 thereafter <br /> pAYM►ENT <br /> ,=ErlovEn <br /> .V Jv •�U�N l,vUiJ i <br /> �P.LIr HEAU H SERVICES <br /> , i,;,',I_`aTAt_HEALTH DIVI`31Gii <br /> 5255.rpt <br />
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