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SR0084600 (2)
Environmental Health - Public
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2900 - Site Mitigation Program
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SR0084600 (2)
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Last modified
11/19/2024 1:19:39 PM
Creation date
10/18/2022 1:32:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
SR0084600
PE
2950
FACILITY_ID
FA0026885
FACILITY_NAME
ICGC LLC
STREET_NUMBER
0
STREET_NAME
I-580
City
TRACY
Zip
95377
APN
25106012
ENTERED_DATE
12/10/2021 12:00:00 AM
SITE_LOCATION
0 I-580
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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12/8/21, 12:02 PM Online Payments - LexisNexis Payment Solutions <br />https://payments.lexisnexis.com/billingInfoConf.xhtml 1/1 <br />Copyright © 2021 LexisNexis Risk Solutions. All rights reserved. <br />(Page Last Update 12/08/2021 02:02 PM CST) <br />24:993.102353:9.0.39.0_1.8.0.302 <br />San Joaquin County Environmental HealthSan Joaquin County Environmental Health <br />1868 E. Hazelton Ave. <br />Stockton CA 95205 <br />(209) 468-3420 <br />Receipt Receipt <br />Payment Date 12/08/2021 12:02 PM PST Payment Status AUTHORIZED <br />Confirmation Number 135758044 <br />Payment Method Credit Card (MASTERCARD) ************0282 <br />Expiration ##/##Transaction Type Purchase <br />Approval Code 034993 <br />AVS Response Y CVV2 Response M <br />Bill ToBill To <br />Michelle Provenzano <br />70 Blanchard Road Suite 204, Burlington, MA - 01803 US <br />Payment TowardsPayment Towards <br />Payment Towards Service Request Or Well <br />Permit Amount $1,672.00 <br />Site Address I-580 EB/Corral Hollow Rd <br />Exit Ramp Business Name Haley and Aldrich Inc <br />Phone Number 9259491022 <br />Charge InformationCharge Information <br /> Agency Amount $1,672.00 <br /> LexisNexis Service Fee $38.29 <br /> Total Amount $1,710.29 <br />Your payment 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 />Home Payment Solutions Contact Us Terms and Conditions Privacy Policy <br />
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