My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING_PRE 2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
P
>
PERSHING
>
1201
>
2300 - Underground Storage Tank Program
>
PR0504572
>
BILLING_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/28/2023 12:45:14 PM
Creation date
11/6/2018 10:17:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0504572
PE
2381
FACILITY_ID
FA0006246
FACILITY_NAME
CITY OF STOCKTON/VICTORY PARK*
STREET_NUMBER
1201
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13515001
CURRENT_STATUS
02
SITE_LOCATION
1201 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\1201\PR0504572\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/14/2011 8:00:00 AM
QuestysRecordID
179104
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SAN JOAWt" COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STOOGE TANK PROGRAM - FEE WORKSHEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> F <br /> A City of Stockton (Victory Park Jo In Fukum <br /> SITE PHONE IF with AREA CODE <br /> fACILIi��RESf <br /> /, STATE 1IP CODE IF of TANKS <br /> I CITY . 95 <br /> Ca202-19 1 at SITE 1 <br /> r oryT <br /> A t RAME APPLICANT CONTACT HANE <br /> APPLICANT/11 pity of Stockton, Accounts <br /> P <br /> P <br /> F moble Divison Finance De t. John Fuk moto <br /> APPLICANT PHONE ! WITH AREA CODE <br /> C N111LIN0 ADDRESS - <br /> city X11 4 N E D -8-157 <br /> N CITY STATE 21P CODE TYPE of ate- Removal <br /> 1 <br /> 10TAL <br /> RICH-MART 11692 <br /> /�I W N JIM THORPE, DISTRIBUTOR OF QUALITY PRODUCTS <br /> 7 368-6175 462-4581 <br /> 351 NO, BECKMAN ROAD, P.O. BOX 357 90-103/1211 <br /> LODI, CA 95241-03571�Z�,q <br /> PAY <br /> v� c_ TO TH E $ -�jo <br /> lAL <br /> ORDER OF <br /> o+coo <br /> AMCUHT OF CHECK _x <br /> Bank`fAS'torkton <br /> NODI OfiICf <br /> In W.Walnm L,Lodi.CA 952V <br /> 11'01i69211' 1: 1211010371: 2311100197611' <br /> IAN PLAN CHECK FEE 1153.00 per hour IS hour@ minimM per Faculty) • 11424.00 minima I f I <br /> tRREPAIN FEE (workplan review L emstructlon Inspectlane) TANK I.D. !(s)REPAIRFEE • 053.00 per hour (3 hours minlnwWVANK) ! TANK(@) X !159.00 • f <br /> G REPAIR FEE + 1153.00 per hour (3 hour minitese per facility • !159.00) f <br /> [MTRANsm E • !20.00 UNAUTHORIZED RELEASE EVALUATION • 153.00/hrfSULTATION iEE • 953.00/hr SAMPLING INSPECTION FEE • 153.00/hr f <br /> EE <br /> TOTAL DUE f Q <br /> •m <br /> EN 23 032 (Revised 4/8/91) Paye If <br />
The URL can be used to link to this page
Your browser does not support the video tag.