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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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aAlyJVA�1NC IUNTY <br /> ENVIRON NT HEALTH DEPARTIV—gT Page 1 <br /> 00 E MAIN aTREET <br /> STOTON, CA 95202 AC <br /> Phone: (209)468-3420 CTS- PA-M , + COPY <br /> INVOICE NOV 2 3 LUUI AccounlfD AR0002$34 <br /> RECEIVEC-) Facility ID FA0000251 <br /> Date Printed 11/20/2007 <br /> { UNITED SITE SERVICES RE.:.,. PORT_ MAN Y <br /> PORTOSAN 4550E MARIPOSA RD <br /> 3408 HILLCAP AVE STOCKTON, CA 95215 <br /> SAN JOSE, CA 95136-1306 <br /> OWNER : UNITED SITE SERVICES OF CA INC <br /> i <br /> Health <br /> Date � <br /> Program Description <br /> Amount <br /> i <br /> Invoice# IIJ0167609 Date of Invoice: 1111912007 IIIIIIIIIIIIII IIIIIIII IIIII lllll!lIIIIIIII Illll IIIII Illllillll IIII111111lllllllll Illi <br /> f <br /> 11119/2p 4246 "� PUMPER YARD <br /> $ 105.00 <br /> 11/19/2007 4255 CHEMICAL TOILETS i <br /> $ 132.00 <br /> Total for this Invoice $ 237.00 <br /> Payment Due Date 12/20/2007 <br /> TOTAL DUE this Billing Period $ 237.001 <br /> PAYMENT � <br /> DEC 13 2007 <br /> SAN JOAQUIN COUNTY <br /> t, r .. �z •. ENVIRONMENTAL <br /> a HEALTH DEPARTMENT <br /> r <br /> I" <br />' r <br /> s <br /> i I <br /> r <br /> M1 i <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> i <br /> Penalties will be added to all Permit Fees For OES I 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% f <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> j <br /> 5254.rpt I <br />
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