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EHD Program Facility Records by Street Name
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4200 – Liquid Waste Program
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PR0523582
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BILLING
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Entry Properties
Last modified
12/3/2020 5:05:16 PM
Creation date
8/5/2020 10:11:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
BILLING
RECORD_ID
PR0523582
PE
4246
FACILITY_ID
FA0003350
FACILITY_NAME
UNITED SITE SERVICES
STREET_NUMBER
243
STREET_NAME
HOSMER
STREET_TYPE
AVE
City
MODESTO
Zip
95351
APN
15318054
CURRENT_STATUS
04
SITE_LOCATION
243 HOSMER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\T\TENTH\360\PR0523582\BILLING PERMITS.PDF
Tags
EHD - Public
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SANVdAQUIN COUNTY r <br /> ENVIRONMENTAL HEALTH DEPARTM \.aL(1i1�Q (" Page t <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 i <br /> Phone: (209)468-3420 <br /> �I. <br /> INVOICE E ^ o Account ID ARoaaz927 <br /> f <br /> Facility ID FA0003350 <br /> Date Printed 1�l2012008 i <br /> MELLIFONT, KEVIN RE : UNITED SITE SERVICES <br /> UNITED SITE SERVICES 360 N TENTH ST <br /> 3408 HILLCAP AVE SACRAMENTO, CA 95814 <br /> SAN JOSE, CA 95136-1306 <br /> I <br /> OWNER: UNITED SITE SERVICES OF CA INC <br /> Date Health <br /> Program Description <br /> Amount , <br /> InvoiDe# IN0181706 Date of Invoice., 1111912008 i�I1f�Ill��li1�I11111111111191IP111111111N111N1111I11I11III III]11111111 <br /> 11/19/2008 4244 PUMPER TRUCK +6 ZI q4 <br /> 11119/2008 4244 PUMPER TRUCK -J-2-Crgf ce $ 150.D0 <br /> ` $ 150.00 i <br /> 11/19/2008 4244 PUMPER TRUCK 4 Z((06 ��� , �S, S 150.00 <br /> 11/19/2008 4244 PUMPER TRUCK 4,kZ06 ✓ S 150.00 { <br /> 11119/2008 4244 PUMPER TRUCK $ 150.00 I <br /> 1111912008 4244 PUMPER TRUCK �}-��{'Z. y ` $ 150X0 <br /> 11/19/2008 4244 PUMPER TRUCK el $ 150:00 <br /> 11119!2008 4255 CHEMICAL TOILETS $ 3,408.00 <br /> Total forthls Invoice $ 4,458.00 <br /> S O ' Payment Due Date 1212012008 <br /> ~ !yy 2 <br /> vv vLj� TOTAL DUE this Billing Period 4,458.00 <br /> L\ <br /> DEC 3 0 <br /> �j <br /> a O (A._ <br /> FG.L. ,4f_--.__a �( I (. SAN JaAOIIIN COUNTY <br /> ENVIRONMENTAL <br /> ()eSCriptiOi HEALTH DEPARTMENT <br /> Iroval: <br /> cs (3 <br /> r <br /> i <br /> Please make Checks PAYABLE to: 'EiiD' _ Return a Copy of This STATEMENT with Your PAYMENT <br /> Penaftles 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% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Involce Date and each 30 Days thereafter <br /> 5254.rpt j <br />
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