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San Joaquin County Environmental Health <br />1868 E. Hazelton Ave Stockton CA 95205 <br />(209) 468-3420 <br />(d <br />SANJOAQUIN <br />—COUNT, <br />Gre."," 9"," he" <br />Receipt <br />MITHOIRIZED Payment Date 07/0217018 04:49 PIA PST <br />Confirmation Number <br />Payment Method Credit Card (VISA) <br />Pardus" Expiration <br /> <br />AVS Response <br />Payment Status <br />Transaction Type <br />CVV2 Response <br />r <br />iath....„,,Tbiamono <br />2154 Terrance Boulevard 2154, Torrence, CA - 90501 US <br />Payment Towards Servce Request Or Well Permit Amount <br />1021 East Hazelton Avenue, Stockton, Site Address Business Name CA 95203 <br />Phone Number 5104101009 <br />$912.00 <br />Partner Engineenng and Science <br />tick here fro a pnnter fnendly recept <br />Your payment was made through paymenSoluburs.leosneoscom, tee of the LexisNecs VrtabChek Network Inc portals. <br />For business or technical support, please send an email to paymentsolutionstlensnion.cors <br />For San Joaquin County Environmental Health support, please can (209) 468-3420 <br />— Payment Towards <br />r <br />Charge Information <br /> <br />Agency Amount <br />LexisNexis Service Fee <br />Total Amount <br />$912.00 <br />$20.49 <br />$932.88