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2/28/24,2:03 PM Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> �oPcoG I I AI 1868 E. Hazelton Ave. <br /> of , - S Q I�nI 1 J 0A Q V I I�1 Stockton CA 95205 <br /> C O U N T Y (209)468-3420 <br /> i' <br /> ;Foaa`� Greatness grows her. <br /> Receipt <br /> Payment Information <br /> Payment Date <br /> 02/28/2024 02:01 PM PST <br /> Payment Status <br /> AUTHORIZED <br /> Confirmation Number <br /> 177256540 <br /> Payment Method <br /> Credit Card (DISCOVER)************0149 <br /> Expiration <br /> Transaction Type <br /> Purchase <br /> Bill To <br /> John Sellman <br /> 1117 Lone Palm Avenue, Suite 201 B, Modesto, CA, 95351, US <br /> Payment Towards <br /> Payment Towards Service Request Or Well Amount $1,296.00 <br /> Permit <br /> Site Address 826 N. California St., Business Name Atlas Technical <br /> Stockton, CA 95202 <br /> Phone Number 2095792221 <br /> Charge Information <br /> Agency Amount <br /> $1,296.00 <br /> LexisNexis Service Fee <br /> $29.68 <br /> Total Amount <br /> $1,325.68 <br /> https://payments.lexisnexis.com/billinglnfoConf.xhtml 1/2 <br />