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San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave. Stockton CA 95205 <br /> (209) 468-3420 <br /> Receipt <br /> Payment Date 03/04/2019 11:59 AM PST Payment Status AUTHORIZED <br /> Confirmation Number 88445839 <br /> Payment Method Credit Card (VISA) ************3158 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 095506 Transaction Reference Number <br /> AVS Response Y CVV2 Response M <br /> Bill To <br /> Brian Reilly <br /> 60112 Crater Road , Bend, OR- 97702 US <br /> Payment Towards Service Request Or Well Amount $912.00 <br /> Permit <br /> 2135 S. Airport Way, <br /> Site Address Stockton Business Name N/A <br /> Phone Number 5417714397 <br /> Agency Amount $912.00 <br /> LexisNexis Service Fee $20.88 <br /> Total Amount $932.88 <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek Network Inc. <br /> portals. <br /> For business or technical support,please send an email to paymentsolutions(a),lexisnexis.com. <br /> For San Joaquin County Environmental Health support,please call (209) 468-3420 <br />