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3/27/2018 LN - Receipt <br /> San Joaquin County Environmental Health <br /> 1868 E . Hazelton Ave . Stockton CA 95205 <br /> (209) 468 - 3420 <br /> Receipt <br /> Payment Date 03/27/2018 09 : 18 AM PST Payment Status AUTHORIZED <br /> Confirmation Number 77029916 <br /> Payment Method Credit Card (MASTERCARD) * * * **** * * * * *3606 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 037520 Transaction Reference Number <br /> AVS Response Y CVV2 Response M <br /> - Bill To <br /> Steve Sills <br /> 9595 Lucas Ranch Rd. #100 , Rancho Cucamonga, CA - 91730 US <br /> Payment Towards Service Request Or Well Amount $456.00 <br /> Permit <br /> Site Address 2680 Reynolds Ranch Business Name Costco Wholesale #1091 <br /> Pkwy. Lodi, CA 95240 <br /> Phone Number 7149754257 <br /> r <br /> Agency Amount $456.00 <br /> LexisNexis Service Fee $ 10.44 <br /> Total Amount $466.44 <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek <br /> Network Inc. portals. <br /> For business or technical support, please send an email to paymentsolutions@lexisnexis.com. <br /> For San Joaquin County Environmental Health support, please call (209) 468-3420 <br /> https:t/payments.lex[snexis.mm/printerFrlendlyReceipt.xhtmi 1/1 <br />