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SR0082848
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MOUNTAIN VIEW
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11801
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082848
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Last modified
12/9/2020 3:48:34 PM
Creation date
12/9/2020 3:42:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082848
PE
4210
FACILITY_NAME
11801 W MOUNTAIN VIEW RD
STREET_NUMBER
11801
Direction
W
STREET_NAME
MOUNTAIN VIEW
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24203045
ENTERED_DATE
11/6/2020 12:00:00 AM
SITE_LOCATION
11801 W MOUNTAIN VIEW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\fgarciaruiz
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EHD - Public
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CUSTOMER INVOICE <br /> AAA SEPTIC IOWORK <br /> RDER NO. <br /> s s s�� <br /> SEPTIC TANKS•LEACH LINES•PUMPED AND INSTALLED <br /> REAL ESTATE INSPECTIONS AAA SEPTIC, INC. <br /> P.O. Box 510 • FRENCH CAMP • CA, 95231 (209) 983-5009 aaa <br /> PHONE: (209) 983-5009 <br /> STATE CONTRACTORS LIC.#811037 <br /> LOCATION M\ <br /> � \ gqc) <br /> �- ZL <br /> BILLING <br /> INFO. rr <br /> Email: Phone: L4 <br /> REALTOR <br /> Email: Phone: Cell: <br /> WORK DESC: AMOUNT <br /> AMOUNT DUE <br /> REMARKS <br /> NOTICE: The above described work has been completed to my satisfaction. I agree to pay the full invoice amount according <br /> to terms specified, plus financing charges and reasonable attorney fees and other costs if suit is sustained by creditor, should <br /> I/we default on payment terms: NET 15 DAYS from date of work unless otherwise stated herein. Amounts 30 days past due <br /> are subject to 1'/z% per month finance charge or 18% annually on unpaid balances, with $2.00 MINIMUM CHARGE. <br /> AAA SEPTIC INC. will not be held responsible for any damage to property. <br /> --Ga-Z� <br /> SIGNATURE TITLE DATE <br /> WHITE-CUSTOMER COPY YELLOW-OFFICE COPY PINK-FILE COPY <br />
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