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PQu'N <br /> COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES Ronald E. Baldwin <br /> Q: <br /> ROOM 610,COURTHOUSE Coordinator <br /> 222 EAST WEBER AVENUE <br /> � FORN STOCKTON, CALIFORNIA 95202 <br /> TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> September 17, 1997 <br /> COUNTRY CLUB SERVICE Account No.: 6178 <br /> ATTN CRAIG FURGISON <br /> 1403 COUNTRY CLUB BLVD <br /> STOCKTON CA 95204 <br /> SUBJECT: INVOICE FOR FACILITY AT 1403 COUNTRY CLUB BLVD STOCKTON <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 /> ITEMIZED CHARGES <br /> 9/17/97 HMMP Annual Fee $100.00 <br /> Please pay this amount: $100.00 <br /> Payment Due Date: 11/3/97 <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 /> r.. 7 <br /> DETACH AND REMIT WITH PAYMENT 7( s j'f (- <br /> __- _____ _______________ ----------------y___-------------------------- <br /> OFFICE OF EMERGENCY SERVICES" <br /> ROOM 610, COURTHOUSE OCT 1 4 W/7 <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 - - _ <br /> OFFICE OF ELiCK.,criC?_rq �;F3 <br /> Payment Due Date: November 3, 1997 Total Amount Due: $100.00 Account No.: 6178 <br /> Site Address: COUNTRY CLUB SERVICE <br /> 1403 COUNTRY CLUB BLVD <br /> STOCKTON,CA 95204 <br /> BRF-06 Revision 7/96 <br />