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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0505768
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/25/2020 9:40:24 AM
Creation date
5/13/2020 2:04:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505768
PE
2960
FACILITY_ID
FA0006988
FACILITY_NAME
ALDEN PARK CHEVRON
STREET_NUMBER
500
Direction
N
STREET_NAME
SEQUOIA
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23416001
CURRENT_STATUS
01
SITE_LOCATION
500 N SEQUOIA AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HALELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0009998 <br /> Return This INVOICE with Your PAYMENT Facility ID FA0006988 <br /> Date Printed 11/5/2020 <br /> ROBERT MONIZ RE : ALDEN PARK CHEVRON <br /> ARCADIS 500 N SEQUOIA AVE <br /> 2300 CLAYTON RD., SUITE 400 TRACY, CA 95376 <br /> CONCORD, CA 94520 <br /> OWNER : TRACY, CITY OF <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0335140---Date of Invoice: 3/20/2020 I IIIIIII IIIIII III IIID VIII IIIII IIIII IIIII IIIII IIIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> Hrs Employee <br /> 2/25/2020 2903 523-PLAN CHECK(3 hr min) 0.50 WONG $ 76.00 <br /> 3/6/2020 2903 523-PLAN CHECK(3 hr min) 1.50 WONG $ 228.00 <br /> 3/12/2020 2903 523-PLAN CHECK(3 hr min) 0.50 WONG $ 76.00 <br /> 3/17/2020 2903 523-PLAN CHECK(3 hr min) 1.00 WONG $ 152.00 <br /> 3/19/2020 2902 313-INSPECTION ACTIVITY 2.70 AFONSKAIA $ 410.40 <br /> 3/19/2020 2902 313-INSPECTION ACTIVITY 2.30 AFONSKAIA $ 349.60 <br /> 3/19/2020 2903 523-PLAN CHECK(3 hr min) 020 WONG $ 30.40 <br /> 3/19/2020 2902 905-OT REQUEST FOR SERVICE 0.50 AFONSKAIA $ 114.00 <br /> 3/20/2020 9999 PAYMENT ($ 912.00) <br /> 4/3/2020 2902 313-INSPECTION ACTIVITY 1.50 WONG $ 228.00 <br /> Total for this Invoice $ 752.40 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 752.40 <br /> Please make Checks PAYABLE to: 'EHD' <br /> Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br /> at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />
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