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SR0085006 (3)
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2900 - Site Mitigation Program
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SR0085006 (3)
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Last modified
10/18/2022 9:09:33 AM
Creation date
10/18/2022 9:08:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0085006
PE
2903
FACILITY_ID
FA0013993
FACILITY_NAME
CHEVRON FORMER TRACY PUMP STATION
STREET_NUMBER
14821
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20919006
ENTERED_DATE
3/15/2022 12:00:00 AM
SITE_LOCATION
14821 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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3/15/22, 12:02 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 03/15/2022 02:01 PM CDT) <br />27:1090.103648:9.0.39.0_1.8.0.322 <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 03/15/2022 12:01 PM PST Payment Status AUTHORIZED <br />Confirmation Number 140549480 <br />Payment Method Credit Card (VISA) ************9014 <br />Expiration ##/##Transaction Type Purchase <br />Approval Code 08954D <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 $912.00 <br />Site Address 14821 West Grant Line Road Business Name Arcadis US Inc.` <br />Phone Number 6196059641 <br />Charge InformationCharge Information <br /> Agency Amount $912.00 <br /> LexisNexis Service Fee $20.88 <br /> Total Amount $932.88 <br /> <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 />PrintPrint <br />Home Payment Solutions Contact Us Terms and Conditions Privacy Policy <br />
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