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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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24876
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3000 – Underground Injection Control Program
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PR0519201
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/21/2020 11:20:46 AM
Creation date
5/21/2020 11:10:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0519201
PE
3030
FACILITY_ID
FA0014356
FACILITY_NAME
MILLER RES UIC DRUG LAB
STREET_NUMBER
24876
Direction
N
STREET_NAME
SUTTENFIELD
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
02
SITE_LOCATION
24876 N SUTTENFIELD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ..ENVIRONMENTAL HEALTH DEPARTI� `T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0024397 <br /> Facility tD FA0014356 <br /> Date Printed 3/4/2003 <br /> DAVID & DEBORAH MILLER RE : MILLER RES. UIC DRUG LAB <br /> MILLER RES. UIC DRUG LAB 24876 N SUTTERFIELD RD <br /> 24876 N SUTTERFIELD RD ACAMPO, CA 95220 <br /> ACAMPO, CA 95220 <br /> OWNER : MILLER, DAVID K& DEBORAH R <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0102732—Date of Invoice: 2!7!2003 <br /> Hrs Employee <br /> 214!2003 3030 315-REPORT REVIEW 0.90 INFURNA $ 80.10 <br /> 2/5/2003 3030 315-REPORT REVIEW 2.10 INFURNA $ 186.90 <br /> 2/6/2003 3030 315-REPORT REVIEW 0.50 INFURNA $ 44.50 <br /> 2/7/2003 9999 PAYMENT ($ 267.00) <br /> 2(712003 3030 315-REPORT REVIEW 0.60 INFURNA $ 53.40 <br /> 2/10/2003 3030 310-FIELD CONSULT 3.70 INFURNA $ 329.30 <br /> 2/19/2003 3030 315-REPORT REVIEW 0.50 LAGORIO $ 44.50 <br /> 3/3/2003 3030 315-REPORT REVIEW 2.40 INFURNA $ 213.60 <br /> Total for this Invoice $ 685.30 <br /> Payment Due Date 41212003 <br /> TOTAL DUE this Billing Period $ 685.30 <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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