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SR0085105 (2)
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2900 - Site Mitigation Program
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SR0085105 (2)
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Last modified
11/16/2022 9:51:04 AM
Creation date
11/16/2022 9:44:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0085105
PE
2903
FACILITY_ID
FA0027091
FACILITY_NAME
FULCRUM RESOURCES ENVIRONMENTAL
STREET_NUMBER
204
STREET_NAME
VASCONCELLOS
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22802051
ENTERED_DATE
4/5/2022 12:00:00 AM
SITE_LOCATION
204 VASCONCELLOS AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\lsauers
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EHD - Public
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Confirmation Number: 141493308 <br /> Payment Method: Credit Card (VISA) ************6510 <br /> Bill To <br /> Ling Cao <br /> 2610 Gardi Street, Duarte, CA, 91010, US <br /> Service Request Or Well <br /> Payment Towards: Amount: $684.00 <br /> Permit <br /> 204 Vasconcellos Avenue, Manteca Trailer and <br /> Site Address: Manteca, CA Business Name: Motorhome LLC <br /> Phone Number: 2099930624 <br /> Agency $684.00 <br /> Amount: <br /> LexisNexis Service Fee: $15.66 <br /> Total Amount: $699.66 <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 /> 2 <br />
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