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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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WILSON
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2200 - Hazardous Waste Program
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PR0514406
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BILLING PRE 2019
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Last modified
2/27/2019 5:28:24 PM
Creation date
2/27/2019 3:51:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0514406
PE
2220
FACILITY_ID
FA0003601
FACILITY_NAME
ARCO STATION #826951*
STREET_NUMBER
130
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-5561
APN
15502064
CURRENT_STATUS
01
SITE_LOCATION
130 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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�AQU1N C 0 U N I'Y PU6L7.0 HEALTH SERVICES <br /> Report 05255 <br />—``" rfiIVP'1Ez1` 'a TAI_ HFAI_ TH DIV' ' r0N <br /> S prnent Pr in ted 4�5J2O /99 <br /> I: `WEEsF_R AVENUE — 3R-G• _OOR <br /> rON , CA 95202 ' <br /> Accounting office : 209 468—.3420 <br /> TO : ARCO AM/PM EAccount PO BOX 6038 #� 0017757 <br /> ARTESIA , CA 90702 60 <br /> ATTN : ACCOUNTS PAYABLE <br /> E <br /> ty ID 018757 <br /> RE : ARCO AM/PM #5469 <br />• 130 S WILS-O,tt. WAY <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description H r s Employee Arno unt <br /> nvoice # 057871 -- Date of Invoice: 05/18/99 <br /> € 5 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice: . 50 <br /> f this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06 20/99 <br /> Invoice # 060077 -- Date of Invoice: 05/18/99 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 0 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR 00 . 00 <br /> Total for this invoice : 10. 0 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06 9 <br /> JUN11oag <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 11%601-441q,,}; 4 rr� .� ° ,r <br /> at the rate of 1008 of the Base Fee 30 past invoice <br /> and each >�r'ti ERVICES pN <br /> days after the due date. <br /> TOTAL DUE this Billing Period: $128. 50 <br /> Please make Checks PAYABLE to: PHS/EHD <br />
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