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SR0085382 (3)
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SR0085382 (3)
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Last modified
10/19/2022 9:43:03 AM
Creation date
10/19/2022 9:33:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0085382
PE
2903
FACILITY_ID
FA0025625
FACILITY_NAME
BUGGY BATH CAR WASH / FORMER ARCO STATION NO 0559
STREET_NUMBER
2085
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15310210
ENTERED_DATE
6/8/2022 12:00:00 AM
SITE_LOCATION
2085 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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6/3/22, 12:33 PM Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> 1868 E. Hazelton Ave. <br /> SAN J O A Q U I N <br /> 2' Stockton CA 95205 <br /> Q . <br /> COUNTY (209)468-3420 <br /> Greatness grows here. <br /> Receipt <br /> Payment Information <br /> Payment Date <br /> 06/03/2022 12:33 PM PST <br /> Payment Status <br /> AUTHORIZED <br /> Confirmation Number <br /> 144651829 <br /> Payment Method <br /> Credit Card (MASTERCARD)************9435 <br /> Expiration <br /> Transaction Type <br /> Purchase <br /> Bill To <br /> Katrina Siems <br /> 515 E 8th Street Apt F, Davis, CA-95616 US <br /> Payment Towards <br /> Payment Towards Service Request Or Well Amount $760.00 <br /> Permit <br /> Site Address 2085 East Main Street Business Name Antea Group <br /> Phone Number 7634530183 <br /> Charge Information <br /> Agency Amount <br /> $760.00 <br /> LexisNexis Service Fee <br /> $17.40 <br /> https://payments.lexisnexis.com/billinglnfoConf.xhtml 1/2 <br />
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