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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3011
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2300 - Underground Storage Tank Program
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PR0231883
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BILLING_PRE 2019
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Entry Properties
Last modified
9/25/2019 9:18:52 AM
Creation date
11/8/2018 10:23:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\B\BENJAMIN HOLT\3011\PR0231883\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/29/2011 8:00:00 AM
QuestysRecordID
104119
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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F'UR,� �EALTH SERVICES, SAN JOAOUIN t •` Y <br /> 446 N. 1:3 Oaquin Street (NOT A MAILING Ai7FjRESS) <br /> P.6. cook 2009 <br /> Stockton; CA 95201 <br /> (209) 468-5427 <br /> I Jogi Khanna, M.O , Health Officer <br /> I I <br /> L I NDM <br /> SHELL OIL SERVICE. STATION BEN HOLT SHELL <br /> <br /> STOCKTON, CA 95209 <br /> I I <br /> I Billing Statement For 1991 Permit, Underground lank Facility . j <br /> I <br /> Statement Date January 7, 1991 j <br /> Payment Due [late: Febr'uar'y 7, 1991 <br /> I I <br /> atntainer fee 0001 170.00 I <br /> I <br /> I :it-di.e surcharge 0401 ',E,.:?U I <br /> Container We 0002 170= 00 <br /> State surcharge 0002 56 00 I <br /> 0003 66.00 I <br /> I Container fee 0004 170.00 I <br /> I State surcharge 0005 56.00 j <br /> Container fee 0005 170.00 1 <br /> I <br /> NOTES: TOTAL FEES DUE $904.00 <br /> I Notify Public Health Services, -- <br /> I San Joaquin County of any <br /> I corrections or ihdilge5 I <br /> necessary . Your permit. will <br /> 4e mailed upon receipt of I <br /> payment. and 'approval of <br /> I <br /> facility , I <br /> Return payment along with one I <br /> copy 5f this statement. to; <br /> PUBLIC HEALTH SERVICES j <br /> SAN J]AQUiN COUNTY <br /> , <br /> ENVIRONMENTAL HEALTH PERMIMERViCES <br /> P.O. 3t iX 2009 <br /> S T OCK I ON, CA 95201 <br /> Penalties will be added 'after <br /> Clue date as sho= <br /> i 30 days - 100% of Base Fee I <br /> I <br /> I <br /> I <br /> J I <br /> / I <br />
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