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SR0084051 (3)
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2900 - Site Mitigation Program
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SR0084051 (3)
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Last modified
10/26/2022 1:18:55 PM
Creation date
10/26/2022 1:16:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0084051
PE
2903
FACILITY_ID
FA0024553
FACILITY_NAME
SHARPE ARMY DEPOT OFF SITE EXTRACTION WELL INSTALLATION
STREET_NUMBER
700
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
94523
APN
19802001
ENTERED_DATE
8/10/2021 12:00:00 AM
SITE_LOCATION
700 ROTH RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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oPauiN o <br />I (,I-- : <br />i <br />gir�oa��� <br />Receipt <br />SAN JOAQUIN <br />COUNTY <br />Greatness grows here. <br />Payment Date <br />Confirmation Number <br />Payment Method <br />Expiration <br />Approval Code <br />I "S Response <br />Bill To <br />San Joaquin County Environmental <br />Health <br />1868 E. Hazelton Ave. <br />Stockton CA 95205 <br />(209)-468-3420 <br />08/09/202103:23 PM PST <br />129833375 <br />Credit Card (VISA) ************1427 <br />085487 <br />Z <br />Megan Haberman <br />110 W 38th Ave Ste 100 , Anchorage, AK - 99503 US <br />Payment Status <br />Transaction Type <br />CW2 Response <br />— Payment Towards <br />Payment Towards Service Request Or Well Amount <br />Permit <br />Site Address 700 Roth Road, Lathrop, CA Business Name <br />Phone Number 8313927669 <br />Charge Information <br />AUTHORIZED <br />Purchase <br />M <br />$608.00 <br />Ahtna Environmental, Inc. <br />Agency Amount $608.00 <br />LexisNexis Service Fee $13.92 <br />Total Amount $621.92 <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 />® LexisNexis, <br />RISK SOLUTIONS <br />Home Payment Solutions I Contact Us Terms and Conditions Privacy Policy <br />CEI <br />i;;YFEEDBACK <br />y TRUSTe <br />Copyright © 2021 LexisNexis Risk Solutions. All rights reserved. <br />(Page Last Update 08/09/202105:23 PM CDT) <br />25:837.100424:9.0.39.01.8.0.275 <br />
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