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San Joaquin County Environmental Health <br />Receipt <br />Payment Date: 09/29/2023 09.33 PM PST Payment Status: AUTHORIZED <br />Confirmation Number: 169651538 <br />Payment Method: Credit Card (VISA) 8900 <br />—bill 10 <br />HECTOR DEN IS PELAYO <br />650 jonquil dr. Lathrop. CA. 95330. US <br />Payment Towards: Service Request Or Well Permit Amount: $237.00 <br />Site Address: 650 Jonquil Dr Lathrop Ca Business Name: Taco's Los Austeros <br />Phone Number: 2092758865 <br />Agency Amount: $237.00 <br />LexisNexis Service Fee: $5.43 <br />Total Amount: $242.43