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SR0081922
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VELMA
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8640
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081922
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Last modified
8/20/2021 11:24:15 AM
Creation date
8/20/2021 10:22:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081922
PE
4209
STREET_NUMBER
8640
Direction
W
STREET_NAME
VELMA
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
24814015
ENTERED_DATE
3/20/2020 12:00:00 AM
SITE_LOCATION
8640 W VELMA AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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20 Z�n _ CUSTOMER INVOICE <br /> AAA SEPTIC INC . WORK <br /> ORDER NO. <br /> seweu �eta�t aid Su>r�a� rgnead <br /> SEPTIC TANKS•LEACH LINES•PUMPED AND INSTALLED <br /> REAL ESTATE INSPECTIONS <br /> AAA SEPTIC, INC. <br /> ` <br /> P.O. Box 510 - FRENCH CAMP •CA, 95231 (209) 983-5009nA <br /> PHONE: (209) 983-5009 ® -- <br /> STATE CONTRACTORS LIC.#811037 <br /> LOCATION <br /> BILLING <br /> INFO. <br /> Email: Phone: ✓�? ���� Cell: <br /> REALTOR <br /> Email: Phone: Cell: <br /> WORK DESC: AMOUNT <br /> ode <br /> AMPUNT DUE t L 5D <br /> REMARKS <br /> NOTICE: The above described work has been completed to my satisfaction. I agree to pay the full invoice amount according <br /> to terms specified, plus financing charges and reasonable attorney fees and other costs if suit is sustained by creditor, should <br /> I/we default on payment terms: NET 15 DAYS from date of work unless otherwise stated herein. Amounts 30 days past due <br /> are subject to 1'/Z% per month finance charge or 18% annually on unpaid balances, with$2.00 MINIMUM CHARGE. <br /> AAA SEPTIC INC.will not be held re onsible for any damage to property. <br /> 1 ,3 z7-ad <br /> IGNAT TITLE DATE <br /> WHITE-CUSTOMER COPY YELLOW-OFFICE COPY PINK-FILE COPY <br />
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