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San Joaquin Coi <br /> 1$68 E. Hazelton Ave- <br /> ! Stockton CA 95205 <br /> COUNTY— (209)-468-3420 <br /> Greatness grows Frere. <br /> Rewipt <br /> Payment Date <br /> <br /> <br /> <br /> <br /> <br /> Bill To - <br /> <br /> <br /> Payment Towards <br /> Payment Towards Service Rept Or Well Permit Amount <br /> Site Address 1553 Colony Rd Business Name <br /> Phone Number 5803711896 <br /> Charge Information <br /> Agency Amount <br /> LexisNexis Service Fee <br /> Total Amount <br /> Your payment was made through paymentsolutions-lexisnexis-Com,one of the LexisNexis VitalChek Network Inc- portals- <br /> For business or technical support, please send an emaill to paymentsolutions lexisnexis.cam. <br /> For San Joaquin County Ermunental Ftealth support, please call (209)468-3420 <br /> Jamie Barnes AEP <br /> Permit Administrator <br /> t 479.273.7780 ext 314 <br /> c 479.644.2053 <br /> Crmfkv Solutionsiamie.barnes@hfa-ae.com <br /> me <br /> www.hfa-ae.com <br /> HFA(Harrison French &Associates) <br /> Creative Solutions, Meaningful Places <br /> 1705 S.Walton Blvd Suite 3, Bentonville,AR 72712 <br /> 4 <br />