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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID (3)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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A
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AVENA
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AVE 15
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28806
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4200 – Liquid Waste Program
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PR0543484
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID (3)
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Entry Properties
Last modified
12/22/2021 1:44:44 PM
Creation date
12/22/2021 1:42:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0543484
PE
4244
FACILITY_ID
FA0024683
FACILITY_NAME
AMB AG ENTERPRISE
STREET_NUMBER
28806
STREET_NAME
AVE 15
STREET_TYPE
RD
City
MADERA
Zip
95638
CURRENT_STATUS
02
SITE_LOCATION
28806 AVE 15 RD
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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RE: AMB AG ENTERPRISE <br />28806 AVE 15 RD <br />MADERA, CA 95638 <br />A &I <br />111111111111111011111111110111111111111111111111111111111111111111101111011111111 <br />PRO543484 <br /> <br />184.00 <br />PRO543484 184.00 <br />R: AMB RANCH MANAGEMENT <br />Amount <br />Health <br />Program Description Date <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0046188 <br />FA0024683 I <br />7/27/2021 II <br />368.00 <br />184.00 <br />NAVARRO, MARIAH <br />AMB AG ENTERPRISE <br />28806 AVE 15 RD <br />MADERA, CA 95638 <br />Invoice # IN0331101 --- Date of Invoice : 10/29/2C <br /> <br />10/29/2019 <br /> <br />4244 PUMPER TRUCK <br /> <br />1/15/2020 <br /> <br />9994 PERMIT FEE PEN <br />Total for this Invoice <br />Payment Due Date 11/30/2019 <br />PAST DUE! <br />Deliquent charges over <br />90 days! <br />Invoice # IN0341602 --- Date of Invoice: 10/29/2020 <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />10/29/2020 4244 PUMPER TRUCK <br /> PR0543484 $ 184.00 <br />Total for this Invoice <br />t-A—Cc.‘aS <br />\3)-2..str2— <br />Payment Due Date <br />PAST DUE! <br />uent charges over <br />90 days! <br />TOTAL DUE this Billing Period <br />tronically or need to update the email address for this account? Fill out the <br />EH-Invoices@sjgov.org with the information with up to 2 email addresses: <br />11/30/2020 <br />$ 552.00 <br />Checks PAYABLE to: 'EHD or <br />Pay online at: littos://www.siaov.org/deoartment/envhealth/online-Davment. <br />Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br /> Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5 24. rpt End of report
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