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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200 – Liquid Waste Program
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PR0536475
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BILLING
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Entry Properties
Last modified
12/3/2020 4:35:39 PM
Creation date
8/5/2020 10:01:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
BILLING
RECORD_ID
PR0536475
PE
4246
FACILITY_ID
FA0000153
FACILITY_NAME
CLARK SEPTIC SERVICE INC
STREET_NUMBER
852
STREET_NAME
CHARLES
STREET_TYPE
RD
City
HUGHSON
Zip
95326
CURRENT_STATUS
04
SITE_LOCATION
852 CHARLES RD
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\C\CHARLES\852\PR0536475\BILLING PERMITS.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME"` T _ Page 1 <br /> 60(1 E.MrTN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Accountll) ARD000152 <br /> Facility ID FA0006153 j <br /> I � <br /> Date Printed 11!20/2008 <br /> BIBB, LINDA RE . CLARK SEPTIC SERVICE LLC <br /> CLARK SEPTIC SERVICE LLC 852 CHARLES RD t <br /> PO BOX 1475 HUGHSON, CA 95326 � <br /> HUGHSON, CA 95326-1475 ? <br /> OWNER : BIBB, LINDA <br /> { Health <br /> Date " <br /> Program Description <br /> Amount <br /> ` Invoice# IN0181273---Date of Invoice:. 1111912008 <br /> iIII IIIIIII1JllIllllIlllf lllll�llrIlIlI l���IIIII IiI IIIIII�I1 III III��lllli1 llllllll 111111111112 <br /> 111 <br /> 11/19/2008 4244 PUMPERTRUCK $ 150..00 <br /> 11/19/2008 4244 PUMPER TRUCK $ 150.00 <br /> Total for this Invoice $ 300.00 t <br /> Payment Due Date 1212012008 <br /> l <br /> TOTAL DUE this Billing Period !_Z 300.00 <br /> `i <br /> ..� i <br /> RACE <br /> SAK JOAOl54N CO�ALN } <br /> I-tyV1ROFPAB MF"T M <br /> �PA <br /> 1 <br /> f <br /> F <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 OES 1 HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% I <br /> 30 1 Days after the Due Date 45 Days after the Invbice Date 60 Days after the Invoice Date and each 30 Days thereafter j! <br /> 5254.rpt <br />
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