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i <br /> COUNTY OF SAN JOAQUIN <br /> f: J, <br /> OFFICE OF EMERGENCY SERVICES RONALD E BALDWIN <br /> w: < <br /> ROOM 610,COURTHOUSE Director of <br /> c.,. P. 222 EAST WEBER AVENUE Emergency Operations <br /> STOCKTON, CALIFORNIA 95202 <br /> 1 TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> April 13, 2001 <br /> QUIK STOP MARKET#152 Account No.: 5773 <br /> ATTN:MIKE KARVELOT <br /> 4567 ENTERPRISE ST <br /> FREMONT CA 94538-7605 <br /> SUBJECT: INVOICE FOR FACILITY AT 17211 S CHEROKEE LN LODI <br /> The following itemized charges and fees have been assessed as part of participation in the hazardous �~ <br /> materials programs mandated by Chapter 6.95 of the Health and Safety Code or for services <br /> rendered by our office. <br /> Please remit your payment to the Office of Emergency Services. A 10% late fee will be <br /> assessed if your payment is not postmarked by the payment due date. Should you have any <br /> questions, please call (209) 468-3969. <br /> 1 ITEMIZED CHARGES <br /> 4/13/2001 2001 HMMP Annual Fee $270.00 <br /> Please pay this amount: $270.00 <br /> Payment Due Date: 5/28/2001 <br /> If a business is unable to pay the fee in one payment, they can be given the opportunity to make <br /> payments according to a set payment schedule. Please contact our office at 468-3969 to make arrangements. <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> DETACH AND REMIT WITH PAYMENT <br /> -------------------------- ------------------------------------------- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: May 28, 2001 Total Amount Due: $270.00 Account No.: 5773 <br /> Site Address: 1072111 SCH ROKSTOP EELN 52 RECEIVED <br /> LODI,CA 95240 <br /> APR 2 0 2001 <br /> BRF-06 SANJOAUUIN COUNTY Revision 7/96 <br /> OFRM OF EMERSENCYSERVICES <br />