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SR0084768 (3)
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2900 - Site Mitigation Program
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SR0084768 (3)
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Last modified
10/14/2022 10:39:32 AM
Creation date
10/14/2022 10:09:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0084768
PE
2903
FACILITY_ID
FA0007884
FACILITY_NAME
SURLAND HOMES
STREET_NUMBER
2532
STREET_NAME
DORSET
STREET_TYPE
LN
City
TRACY
Zip
95377
APN
23830008
ENTERED_DATE
1/25/2022 12:00:00 AM
SITE_LOCATION
2532 DORSET LN
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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1/25/22, 12:25 PM Online Payments - LexisNexis Payment Solutions <br />https://payments.lexisnexis.com/billingInfoConf.xhtml 1/1 <br />Copyright © 2022 LexisNexis Risk Solutions. All rights reserved. <br />(Page Last Update 01/25/2022 02:25 PM CST) <br />27:1022.102658:9.0.39.0_1.8.0.312 <br />San Joaquin County Environmental HealthSan Joaquin County Environmental Health <br />1868 E. Hazelton Ave. <br />Stockton CA 95205 <br />(209) 468-3420 <br />Receipt Receipt <br />Payment Date 01/25/2022 12:24 PM PST Payment Status AUTHORIZED <br />Confirmation Number 137884173 <br />Payment Method Credit Card (VISA) ************9014 <br />Expiration ##/##Transaction Type Purchase <br />Approval Code 04739D <br />AVS Response Y CVV2 Response M <br />Bill ToBill To <br />Zach Hamer <br />3282 Meade Ave , San Diego, CA - 92116 US <br />Payment TowardsPayment Towards <br />Payment Towards Service Request Or Well <br />Permit Amount $1,064.00 <br />Site Address 2532 Dorset Lane - Surland <br />Homes Business Name Arcadis US Inc. <br />Phone Number 6196059641 <br />Charge InformationCharge Information <br /> Agency Amount $1,064.00 <br /> LexisNexis Service Fee $24.37 <br /> Total Amount $1,088.37 <br />Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek Network Inc. portals. <br />For business or technical support, please send an email to paymentsolutions@lexisnexis.com. <br />For San Joaquin County Environmental Health support, please call (209) 468-3420 <br />Home Payment Solutions Contact Us Terms and Conditions Privacy Policy <br />
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