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SR0084954 (4)
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2900 - Site Mitigation Program
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SR0084954 (4)
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Entry Properties
Last modified
10/18/2022 9:01:29 AM
Creation date
10/18/2022 8:58:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0084954
PE
2903
FACILITY_ID
FA0027040
FACILITY_NAME
1681 EAST GRANT LINE ROAD
STREET_NUMBER
1681
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21307017
ENTERED_DATE
3/4/2022 12:00:00 AM
SITE_LOCATION
1681 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Rece i <br />SANo.10AQUIN <br />COUNTY <br />Greatness grows here. <br />Payment Date <br />Confirmation Number <br />Payment Method <br />Expiration <br />Approval Code <br />AVS Response <br />03/03/2022 04:11 PM PST <br />139936920 <br />Credit Card (VISA) ************8433 <br />0L204G <br />Y <br />Donna Fennell . <br />7250 Redwood Blvd Suite 105 , Novato, CA - 94945 US <br />Payment Towards <br />San Joaquin County Environmental Health <br />1868 E. Hazelton Ave. <br />Stockton CA 95205 <br />(209)468-3420 <br />Payment Status <br />Transaction Type <br />CW2 Response <br />AUTHORIZED <br />Purchase <br />Payment Towards Service Request Or Well Permit Amount $1,596.00 <br />Site Address 1681 East Grant Line Road Business Name Ramboll US Consulting, Inc. <br />Phone Number 5104202546 <br />Charge Information <br />Agency Amount <br />LexisNCAN is Service Fee <br />Total Amount <br />� Print <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 <br />, please call (209) 468-3420 <br />O <br />P <br />$1,596.00 <br />$36.55 <br />$1,632.55 <br />
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