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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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PACIFIC
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6131
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2300 - Underground Storage Tank Program
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PR0231223
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BILLING_PRE 2019
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Entry Properties
Last modified
12/16/2019 4:25:53 PM
Creation date
12/16/2019 3:24:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.U. Box 2009 <br /> Stockton, CA 0201 <br /> (209) 468-342S <br /> ,.fogi Khanna, M.D. , Health Officer <br /> PACIF61 p pY gtA'T <br /> Jy <br /> JOHN KENDRICK PACIFIC SHELL REG <br /> 61: 1 PACIFIC: AVENGE 61: 1 PACIFIC: AVENUE <br /> STOCKTON, CA 9S207 :STOCKTON, CA 95207 jA i <br /> ENTAL HEpOi <br /> 3i l l ing Statement For 198► Permit, Underground Tank Facilit.y. t1AV1 P RM 15ER�10E5 <br /> Statement Date .January 1 , 1989 <br /> Payment. Due Date; February 1 , 19= <br /> Facility Fee; i00.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> TOTAL FEES DUE $20.00 <br /> A ETES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DI'STRIC:T <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICE'S <br /> P.O. BOX 2009 <br /> :STOCKTON, CA 9S201 <br /> Penalties will be added after <br /> due date as shown, <br /> 30 days - 100% of Base Fee <br />
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