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SR0083983 (5)
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2900 - Site Mitigation Program
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SR0083983 (5)
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Entry Properties
Last modified
1/10/2023 2:23:03 PM
Creation date
1/10/2023 2:07:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0083983
PE
2903
FACILITY_ID
FA0007013
FACILITY_NAME
KOPPEL STOCKTON TERMINAL
STREET_NUMBER
20225
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
14503006
ENTERED_DATE
7/21/2021 12:00:00 AM
SITE_LOCATION
20225 W HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\lsauers
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EHD - Public
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San Joaquin County Environment <br /> z <br /> °Anc SAN JOAQUIN Health <br /> COUNTY 1868 E. Hazelton Ave. <br /> Stockton CA 95205 <br /> cqP Greatness grows here. (209)-468-3420 <br /> Receipt <br /> Payment Date 07/19/202109:50 AM PST Payment Status AUTHORIZED <br /> Confirmation Number 128635201 <br /> Payment Method Credit Card (VISA) ************8031 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 079487 <br /> AVS Response Y CW2 Response M <br /> Bill To <br /> Jenny Salinas <br /> 18938 Madison Ave , Castro Valley, CA- 94546 US <br /> Payment Towards <br /> Payment Towards Service Request Or Well Amount $456.00 <br /> Permit <br /> Site Address 2025 W Hazelton Ave, Business Name Jacobs <br /> Stockton, CA 95203 <br /> Phone Number 5108464438 <br /> Payment Towards Service Request Or Well Amount $456.00 <br /> Permit <br /> Site Address 501 S Ventura Ave, Stockton,Business Name Jacobs <br /> CA 95203 <br /> Phone Number 5108464438 <br /> Charge Information - <br /> Agency Amount $912.00 <br /> LexisNexis Service Fee $20.88 <br /> Total Amount $932.88 <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 I Payment Solutions I Contact Us I Terms and Conditions Privacy Policy <br /> Im <br /> "a; <br /> DBACK <br /> RUSTe <br />
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