Laserfiche WebLink
Report t>021 <br />Date Run Puflo 2 <br />Run By <br />FA0018725 Facility IDRecord Selection Criteria. <br />I DAActive, billable YKLINHARES - KADEANNE LINHARESPR05276363612 - PUBLIC POOL/SPA - ADDI1IONAL <br />APPLICANT'S SIGNATURE: <br />Amount Pai• S25.00 = Program Records to be TRANSFERRED: <br />Amount PaliWater System to be TRANSFERRED: <br />3g/Check NumberPayment Type <br />DateAccount out: Date EHD Staff: <br />COMMENTS: <br />2/10/2026 12:33:09 PM <br />KLINHARES <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Facility Information as of 2/10/2026 <br />BIL JNG and COMPLIANCE ACKNOVA EDGEMEN1 I. the undersigned ewnt <br />will be billed to the part1/ identif ed as the OWNER on this form I also rwtf <br /> Received by <br />FEB <br />jq- - <br /> Date OA./?..L-Z. <br />operator or agent of same, acknowledge that all site, and/or project specific. PHS/EHD hourly charges associated with this facility or act.vity <br />all ope-ations will be performed in accordance with all applicable Ofomance Codes and/or Standards and State and/or Federal Laws <br />N I <br />INVOICE <br />' Date I I <br />3£<!3'.£>& Date I J 1 <br />2026 <br />feco. <br />WEALTH