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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID (5)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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A
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AVILA
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104
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4200 – Liquid Waste Program
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PR0538787
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID (5)
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Entry Properties
Last modified
3/16/2022 8:48:49 AM
Creation date
3/16/2022 8:39:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0538787
PE
4244
FACILITY_ID
FA0022270
FACILITY_NAME
HONEY BUCKET
STREET_NUMBER
104
STREET_NAME
AVILA
STREET_TYPE
RD
City
PITTSBURG
Zip
94565
CURRENT_STATUS
01
SITE_LOCATION
104 AVILA RD
P_LOCATION
98
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209)468-3420 V3-7-(80 <br />Account DAR0040653 <br />INVOICE <br />Facility ID FA0022270 <br />Return This INVOICE with Your PAYMENT <br />Date Printed 2/1/2022 <br />-Tt" KSC4 Glave7— V RE: HONEY BUCKET <br />HONEY BUCKET 104 AVILA RD <br />PO BOX 73399 PITTSBURG, CA 94565 <br />PUYALLUP, WA 98373 <br />OWNER: NORTHWEST CASCADE INC <br />Health <br />Program fjescripJur Amount <br />Invoice # IN0361740 <br />--- Date of Invoice : 10/26/2021 <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />10/26/2021 <br />4255 <br />CHEMICAL TOILETS <br />PLEASE APPROVE <br />FEB 15 2022 <br />I IIIIIII <br />IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII <br />P R0538786 <br />IIII IIIIII VIII IIII IIII <br />$184.00 <br />P R0538787 <br />$184.00 <br />PR0538788 <br />$184.00 <br />NUJ CASCADE <br />PR0538789 <br />$120.00 <br />Total for this Invoice <br />$672.00 <br />FFR14 2072 <br />Payment Due Date <br />11/30/2021 <br />PAST DUE! <br />Delinquent charges over <br />90 days! <br />TOTAL DUE this Billing Period $ 672.00 <br />PAYMENT <br />RECEIVED <br />FEB 2 8 2022 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Would you lik oices electronically or need to update the email address for this account? Fill out the <br />form below with the information with up to 2 email addresses: <br />Email 1 –� x ae ,V W CrAde <br />Email 2 :6esn C%1n\jC'ZC� N� CcLscccG,, • CGm <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at: 'hftps://www.sigov.org/departmentlenvhealth/online-payment' <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% 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 />5254.rpt End of report <br />
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