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WP0041716
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041716
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Entry Properties
Last modified
5/2/2023 4:27:39 PM
Creation date
2/13/2023 1:51:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041716
PE
4366
STREET_NUMBER
4103
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00539046
ENTERED_DATE
2/19/2021 12:00:00 AM
SITE_LOCATION
4103 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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ENVIRONMENTJ" . , <br /> Analytical Chemists <br /> 1111111 IIIIIIIIII IIIII IIIII IIIII 111111 1111111 Remit To: INVOICE <br /> Invoice # 331346A FGL Environmental <br /> 853 Corporation St <br /> . 04890`0`0` <br /> Santa Paula, CA 93060 <br /> San Joaquin Co. Environmental Health Dep Account # 3017919 <br /> Water Quality Division Date Billed Amount Due02/23/2023 $158.00 <br /> Attn: Steven Shih Date Due Amount Paid <br /> 1868 East Hazelton Ave. 03/25/2023 <br /> Stockton, CA 95205 <br /> To ensure that your account is properly credited,please return top portion with payment <br /> Keep bottom portion for your records. <br /> INVOICE <br /> Orp <br /> Analytical Chemists <br /> 00. <br /> Customer Account# Date Sampled Lab Number <br /> San Joaquin County EHD 3017919 01/31/2023 STK2331346 <br /> Project Invoice # Date Billed Amount Due <br /> 4103 E Colier Rd. Acampo CA-WP0041716 331346A 02/23/2023 $158.00 <br /> PO# /Check Number Date Paid Date Due Amount Paid <br /> SJ001-0000065938 03/25/2023 <br /> Description of Work Quantity Rate Extended <br /> Bacti Analysis <br /> Coliform-Colilert-P/A 1 20.00 20.00 <br /> Inorganic Analysis <br /> General Mineral 1 135.00 135.00 <br /> Misc. Analysis <br /> Materials/Disposal 1 3.00 3.00 <br /> For More Information http://fglinc.com/md.php <br /> Total $158.00 <br /> (RDM-L4) For Questions about this Invoice-contact Ronda Mefford at 805-392-2057 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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