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4200 – Liquid Waste Program
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PR0546963
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COMPLIANCE INFO
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Entry Properties
Last modified
12/21/2022 9:53:08 AM
Creation date
12/20/2022 4:00:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0546963
PE
4233
FACILITY_ID
FA0026607
FACILITY_NAME
KEVIN WENTWORTH
STREET_NUMBER
462
Direction
W
STREET_NAME
JOSEPH
STREET_TYPE
RD
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
462 W JOSEPH RD
P_LOCATION
04
QC Status
Approved
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EHD - Public
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ENVIRONMENTJ" . , <br /> Analytical Chemists <br /> 111111 IIIII IIIII IIIII IIIII IIIII 111111 1111111 Remit To: INVOICE <br /> Invoice # 257370A FGL Environmental <br /> 853 Corporation St <br /> . 04890`0`0` <br /> Santa Paula, CA 93060 <br /> San Joaquin Co. Environmental Health Dep Account # 3017919 <br /> Water Quality Division Date Billed Amount Due12/19/2022 $26.00 <br /> Attn: Steven Shih Date Due Amount Paid <br /> 1868 East Hazelton Ave. 01/18/2023 <br /> Stockton, CA 95205 <br /> To ensure that your account is properly credited,please return top portion with payment <br /> Keep bottom portion for your records. <br /> INVOICE <br /> Orp <br /> Analytical Chemists <br /> 00. <br /> Customer Account# Date Sampled Lab Number <br /> San Joaquin County EHD 3017919 12/07/2022 STK2257370 <br /> Project Invoice # Date Billed Amount Due <br /> 462 Joseph Rd., Manteca-PR0546963 257370A 12/19/2022 $26.00 <br /> PO# /Check Number Date Paid Date Due Amount Paid <br /> SJ001-0000065938 01/18/2023 <br /> Description of Work Quantity Rate Extended <br /> Inorganic Analysis <br /> Wet Chemistry- NO3-N 1 23.00 23.00 <br /> Misc. Analysis <br /> Materials/Disposal 1 3.00 3.00 <br /> For More Information http://fglinc.com/md.php <br /> Total $26.00 <br /> (SMH-L4) For Questions about this Invoice-contact Stephanie Herron at 805-392-2021 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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