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6/1/2018 Online Payments-LexisNexis Payment Solutions <br /> San Joaquin County Environmental Health <br /> SAN JOAQUIN <br /> 1868 E. Hazelton Ave. Stockton CA 95205 <br /> i" ----COUNTY-- (209)468-3420 <br /> °qtP Greatness grows here. <br /> Receipt <br /> Payment Date 06/01/2018 10:13 AM PST Payment Status AUTHORIZED <br /> Confirmation Number 79246627 <br /> Payment Method Credit Card (VISA) ************0766 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 001985 <br /> AVS Response Y CW2 Response M <br /> Bill To <br /> Steven Lua <br /> 2010 Crow Canyon PI #250 , San Ramon, CA- 94583 US <br /> Payment Towards — -- <br /> Payment Towards Service Request Or Well Amount $1,216.00 <br /> Permit <br /> Site Address 800 E Madruga Road Business Name ENGEO Inc <br /> Phone Number 2096847604 <br /> Charge Information <br /> Agency Amount $1,216.00 <br /> LexisNexis Service Fee $27.85 <br /> Total Amount $1,243.85 <br /> Click here for a printer friendly receipt <br /> Your payment was made through paymentsolutions.lexisnexis.com, one of the LexisNexis VitalChek Network Inc. portals. <br /> For business or technical support, please send an email to paymentsolutions@lexisnexis.com. <br /> For San Joaquin County Environmental Health support, please call (209) 468-3420 <br /> LexisNexis- Work plan review ($456) + 5 well <br /> Home I Payment Solutions I Contact Us demo (5 x $152) = $1216 <br /> Terms and Conditions 1 Privacy Policy <br /> AICPA TRUSTO <br /> sac `�1 Certified Privacy <br /> Po."ed b,"IMC <br /> Copyright @ 2018 LexisNexis Risk Solutions.All rights reserved. 153:147.78821:Je6 <br /> https://payments.lexisnexis.com/billinglnfoConf.xhtml 1/1 <br />