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San Joaquin County Environmental Health <br /> Receipt <br /> Payment Date: 12/17/2021 D1;34 PM PST Payment Status: AUTHORIZED <br /> Confirmation Number: 135195310 <br /> Payment Method: Credit Card (VISA)************6925 <br /> Bill To <br /> Justin Beasley <br /> 7665 Redwood Blvd,Suite 206,Novato,CA,94945,US <br /> Payment Towards: Service Request Or Well Permit Amount: $2,660.00 <br /> Site Address: 5095 Ria Blanco Rd Business Name: Peloria Paradise Paint LLC <br /> Phone Number: 4158991600 <br /> Agency Amount: $2,660,00 <br /> LexisNexis Service Fee: $60.91 <br /> Total Amount: $2,720.91 <br /> Your payment was made through paymentsolutions,lexisnexis.com,one of the LexisNexis VitalChek Network Inc.portals. <br /> For San Joaquin County Environmental Health support, please call (209)468-3420 <br /> For business or technical support, please send an email to paymentsolutions@lexisnexis.com <br />