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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0515037
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2020 12:47:58 PM
Creation date
2/6/2020 11:38:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0515037
PE
2950
FACILITY_ID
FA0012023
FACILITY_NAME
ARCO STATION #434
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
01
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 I <br /> 209-468-3420 <br /> INVOICE Account IDL- <br /> D AR0019088� <br /> Facility ID�A0012023 <br /> Date Printed 7/18/00 <br /> PAUL SUPPLE RE: ARCO STATION#434 <br /> ARCO PRODUCTS COMPANY 501 W KETTLEMAN LN <br /> PO BOX 6549 LODI CA 95240 <br /> MORAGA CA 44570 I <br /> OWNER: ARCO PRODUCTS COMPANY <br /> I <br /> Health <br /> i <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0072178---Date of Invoice: 5122/00 <br /> 4/4/2000 2950 315 REPORT REVIEW 1.0 LAGORIO $78.00 <br /> 4/28/2000 2950 310 FIELD CONSULT 2.0 LAGORIO $156.00 <br /> Total for this Invoice $234.00 <br /> Payment Due Date 6129/2000 <br /> A <br /> TOTAL QUE this Billing Period $234.00 <br /> i <br /> f <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees j 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 /> PAYMENT " <br /> RECEIVED <br /> I <br /> 'JUL 2000 � <br /> SAN JOAGUlN C•OUh'; Y <br /> pUBL1C HSFRVI�%f S <br /> ENVIRONMENTAL- <br /> HP, 1101VIS10Pd <br /> i <br /> 5255.rpt <br />
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