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Payment Date 02/14/2018 11:55 <br />AM PST Payment Status AUTHORIZED <br />Confirmation <br />Number <br />Payment Method Credit Card (VISA) ************ <br />75623382 <br />Expiration <br />Approval Code <br />AVS Response Y <br />Transaction Type Purchase <br />Transaction Reference <br />Number <br />CVV2 Response <br />—Bill To <br />Nathan Maroon <br />2154 Torrance Boulevard , Torrance, CA - 90501 US <br />2/14/2018 LN - Receipt <br />San Joaquin County Environmental Health <br />1868 E. Hazelton Ave. Stockton CA 95205 <br />(209) 468-3420 <br />Receipt <br />Payment Towards <br />Site Address <br />Phone Number <br />Payment Towards <br />Site Address <br />Phone Number <br />Service Request Or <br />Well Permit <br />930 East Charter <br />Way, Stockton, CA Business Name <br />95206 <br />5104101009 <br />Service Request Or <br />Well Permit <br />930 East Charter <br />Way, Stockton, CA Business Name <br />95206 <br />5104101009 <br />Amount <br />Amount <br />$608.00 <br />Partner Engineering <br />and Science <br />$760.00 <br />Partner Engineering <br />and Science <br />Agency Amount $1,368.00 <br />LexisNexis Service Fee $31.33 <br />https://payments.lexisnexis.com/printerFriendlyReceiptxhtml <br /> 1/2