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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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2200 - Hazardous Waste Program
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PR0514068
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BILLING PRE 2019
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Last modified
8/6/2019 2:56:05 PM
Creation date
8/6/2019 11:27:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0514068
PE
2227
FACILITY_ID
FA0009865
FACILITY_NAME
KIA COUNTRY
STREET_NUMBER
1515
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21619005
CURRENT_STATUS
01
SITE_LOCATION
1515 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SAN JOAOUIN COUNTY PUBLIC LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DI ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOgK- O f. CA 95202 <br /> 209-465- <br /> AccountlD AR0016865 <br /> LMMMUNNNOMMUNIIII <br /> FA0009865 <br /> Facility ID LummmommonowmaA <br /> Date Printed 1/31/01 <br /> LMONONOMMONNA <br /> COUNTRY NISSAN RE : COUNTRY NISSAN <br /> C/O CAROL BREWER 1515 N MAIN ST <br /> 1515 N MAIN ST MANTECA CA 95336 20 <br /> MANTECA CA 95336 OWNER: VINTAGE INVESTMENTS <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice A IN0080196--Date of Invoice: 1130/01 <br /> 1130/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period 0110-00) <br /> Please make Checks PAYABLE to: PHS/EHD ! Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAY M-(=NT <br /> r--iECE1V`D <br /> FEB 1 4 2001 <br /> �U3LiG ":"ICCs <br /> 5255.rpt <br />
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