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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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EHD - Public
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I 60110W -_ i <br /> `.:AN JOAQUIN COUNTY PUBLIC FIEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DI' ON St ement <br /> E WEBER AVENUE — 3RO�OOR <br /> STOCKTON , CA 95202 f <br /> Accounting Office : 209. 468-3420 <br /> A.. W .MF Ce .I. ar.:: Ell. <br /> TO : C /O CAROL BREWER _ J� <br /> 1515 N MAIN ST Account # 0016865 <br /> MANTECA , CA 95336 _ --__—__j <br /> ATTN : COUNTRY NISSAN Facility ID 009865_I <br /> RE : COUNTRY NISSAN <br /> 1515 N MAIN ST <br /> MANTECA <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> --- — Service Activity <br /> Date Clescription � � � Hrs Employee Flmoiint <br /> Invoice # 057018 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this invoice : $18 . 50 <br /> Payment DUE GATE /20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 059204 -- Date of Invoice : 05/18/99 <br /> 05 /18 /99 —1220 Slq HW GEN (5 TONS/YR ,:100 . 00 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 1. 30 . 00 <br /> Total for this invoice : $110 . 00 <br /> Payment DUE DATE 06/20/9 <br /> f If this INVOICE has been Paid, Please oisregard this Notice — <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 10% 60 days <br /> at the rate of 1001 of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $128. 50 <br /> Please make Checks PAYABLE to : PHS/EHD <br />
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