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Environmental Health - Public
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EHD Program Facility Records by Street Name
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721
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4500 – Medical Waste Program
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PR0516633
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Entry Properties
Last modified
10/19/2021 12:16:08 PM
Creation date
10/19/2021 11:31:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 – Medical Waste Program
File Section
BILLING
RECORD_ID
PR0516633
PE
4557
FACILITY_ID
FA0012722
FACILITY_NAME
LAWRENCE FAMILY CENTER & CLINIC
STREET_NUMBER
721
STREET_NAME
CALAVERAS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04124006
CURRENT_STATUS
02
SITE_LOCATION
721 CALAVERAS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONM!ENTAL_.HEALTH DEPARTME <br /> 304 E WEBIk AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone:ji09]468-3420 <br /> INVOICE Account ID AR0021209 <br /> ' l <br /> Facility ID FA0012722 <br /> Date Printed 11/20/2002 <br /> VIRGINIA VALDEZ RE : LAWRENCE ELEMENTARY HEALTHY START <br /> COMMUNITY MEDICAL CENTERS INC 721 CALAVERAS ST <br /> 701 E CHANNEL ST LODI, CA 95240 <br /> STOCKTON, CA 95202 <br /> OWNER : COMMUNITY MEDICAL CENTERS INC <br /> Date -Health___ s --�_ - <br /> - Program Des+.riplion --�— -._ _---- y <br /> Invoice# IN0IO1203--Date of Invoice: 11/18/2002 <br /> 1111$12002 4557 MED WASTE LIMITED HAULER $ 67.00 <br /> Total far this Invoice $ 67.00 / <br /> Payment Due Date 12/20/2002 J <br /> TOTAL DUE this Billing Period $ 67.00 <br /> Lop PAYM E ND <br /> RECEIVED <br /> DEC 2 4 ZOOS <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> HtALTH DIV61ON <br /> } <br /> I <br /> ` ^ Please make Checks PAYABLE to: 'EHD':—,4 Return_a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES �s <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br /> J <br />
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