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SR0082833 (2)
Environmental Health - Public
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2900 - Site Mitigation Program
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SR0082833 (2)
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Last modified
3/16/2021 12:47:54 PM
Creation date
3/16/2021 12:29:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
SR0082833
PE
2903
FACILITY_ID
FA0026223
FACILITY_NAME
INGREDION
STREET_NUMBER
1021
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
17728012
ENTERED_DATE
11/5/2020 12:00:00 AM
SITE_LOCATION
1021 INDUSTRIAL DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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10/30/2020 Online Payments-LexisNexis Payment' ions <br /> San Joaquin County Environmental <br /> Qat,,Nz� SAN410A0UIN <br /> Health <br /> COUNTY 1868 E. Hazelton Ave. <br /> Stockton CA 95205 <br /> �cdrP'l Greatness grows here. (209)-468-3420 <br /> Recei t <br /> Payment Date 10/30/2020 05:05 PM PST Payment Status AUTHORIZED <br /> Confirmation Number 116275516 <br /> Payment Method Credit Card (VISA) ************8452 <br /> Expiration ##/## Transaction Type Purchase <br /> Approval Code 05333D <br /> AVS Response Y CW2 Response M <br /> Bill To - - - --- --- -- <br /> Alexander Bowerman <br /> L6328 Outlook Ave , Oakland, CA - 94605 US <br /> Payment Towards -- <br /> Payment Towards Service Request Or Well Amount $912.00 <br /> Permit <br /> Site Address 1021 Industrial Dr, Stockton Business Name Ingredion <br /> Phone Number 5107043889 <br /> — Charge Information <br /> Agency Amount $912.00 <br /> LexisNexis Service Fee $20.88 <br /> Total Amount $932.88 <br /> FYourpayment 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- <br /> RISK SOLUTIONS <br /> Home Payment Solutions I Contact Us Terms and Conditions Privacy Policy <br /> L ^ TRUSTe <br /> Certified Privacy <br /> Powered by TrustArc <br /> Copyright @ 2020 LexisNexis Risk Solutions. All rights reserved. <br /> (Page Last Update 10/30/2020 07:05 PM CDT) <br /> 23:519.94745:9.0.27.01.8.0.262 <br /> https://payments.lexisnexis.com/biIlingInfoConf.xhtml 1!1 <br />
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