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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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6732
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2300 - Underground Storage Tank Program
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PR0231830
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BILLING
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Entry Properties
Last modified
7/6/2020 4:37:43 PM
Creation date
11/7/2018 12:45:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\IAError\W\WATERLOO\6732\PR0231830\BILLING.PDF
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EHD - Public
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PUBLIC HEALTH S�CES, `,AN JOWIN tYlMY `J <br />1601 E. Hazelton Ave., P.O. Box 2009 <br />Stockton, CA 952£11 <br />(203) 468-3425 <br />Jogi Khanna, M.G., Health Officer <br />THREE67 <br />THREE PALMS GROCERY THREE PALMS GROCERY <br />6132 E. WATERLOO RD. <br />STOCKTON, CA 95205 <br />filling Statement For 1990 Permit., Underground Taro; Facility. <br />Statement Date ; January 2, 1:490 <br />Payment Db-- Date; February 2, 19% <br />Facility fee; 100. DO <br />Container Wimberc 0002 50.00 <br />TOTAL FEES DUE $1.50.00 <br />t?TES; <br />Notify Public Health Services, <br />San Joaquin County of any <br />corrections or changes <br />necessary. Your permit will <br />he mailed won receipt of <br />payment and approval of <br />facility. <br />Return payment along with one <br />copy of this statement to; <br />PLIC; HEALTH SERVICES <br />SAri J IIN LOWFY <br />ENV1R(MOITAL HEALTH PERMIT/SERVICES <br />P.O. BOX 2009 <br />STOCr,TON, CA 95_?01 <br />Penalties will be added after <br />due date as shoran; <br />,40 days - 1005 of Base Fee <br />
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