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SR0082451
Environmental Health - Public
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4200 – Liquid Waste Program
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SR0082451
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Last modified
6/14/2021 3:39:22 PM
Creation date
6/14/2021 3:26:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
SR0082451
PE
4210
FACILITY_NAME
4620 E SHIPPEE RD
STREET_NUMBER
4620
Direction
E
STREET_NAME
SHIPPEE
STREET_TYPE
RD
City
STOCKTON
Zip
95212
APN
08540009
ENTERED_DATE
8/12/2020 12:00:00 AM
SITE_LOCATION
4620 E SHIPPEE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PHOTO #2 Pumper truck receipt. MAILING AODRESS• <br />P.O. BOX 8580 <br />STOCKTON, CA 95208 BUS:12091466-0807 FAX:12091485.5736 <br />D.A. P <br />Sewage Disposal Systems Since 1942 <br />LOCATED AT 4000 N. WILSON WAY • <br />STOCKTON, CA <br />TREATMENT PLANTS • <br />GREASE TRAPS • SEWERS DRAINS • SEPTIC TANKS • FREE ESTIMATES <br />CONTRACTOR'S LICENSE NO. 100511 <br />WWW.PARRISHANDSONS.COM <br />OFFICER <br />ESCROW # <br />HOME PH <br />WORK PH. MESSAGES <br />DATE icvl•ra "De) TI So R HOME PH <br />a3c.„____ MOBILE <br />FAXU <br />iceO <br />5s-a4 <br />PHONE*. <br />MOBILE# <br />TENANT <br />LOCATION <br />D HYDRO CLEAN CI PUMP SEPTIC TANK 0 PR I 0 EXPLORE 0 OTHER <br />0 PUMP GREASE TRAP U REPAIR <br />WANTED 0 8 T START TIME END TIME TOTAL TIME EMPLOYEE ASS DATE <br />AMOUNT <br />WSRGKI P pc., F, ,„,,, .9_ <br />i 1 -c.,.A s o 60 tioo f; 70 tc.„)ry,(2 <br />k-c_Ak 0 £o a_od 9-70 <br />r)iS (our* - a In <br />i 300 i <br />WOFe......3.0_CHARGES ACCEPTED BY: <br />REMARKS: <br />check -Vi 175-3 S <br />NOTICE: The above described work has been completed to my satisfaction. I agree to pay the full invoice amount according to terms specified, plus financing charges <br />and <br />reasonable attorney fees and other costs if suit is sustained by creditor, should Ewe default on payment terms: NET 1$ DAYS from sate of work unless otherwise stated <br />herein. Amounts 30 da s ast due are sub" cl to a 2% per month finance charge or 24% annuall on on <br />aid balances. with $2.00 MINIMUM CHARGE. <br />2 _Pt -2-0 <br />DATE <br />PRINT <br />rt•C <br />TITLE <br />TERMS <br />00 <br />WHITE CUSIOLIEF COPY <br />PuJk. F ILE CCP, <br />vELLOW • CffICE COPY Dana Afonskaia, Registered Environmental Health Specialist SERVICE. TRUCK ,, ISVZSOMJS al NoDali ETC1 <br />co <br />NJ <br />0 <br />NJ <br />PHONES <br />FAX# <br />OWNER <br />EMAL <br />AGENT <br />EMAIL <br />REALTOR <br />TITLE <br />CO.
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