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p4U'H. <br /> COUNTY OF SAN JOAQUIN <br /> 2' Z OFFICE OF EMERGENCY SERVICES RONALD E.BALDWIN <br /> ROOM 610,COURTHOUSE Director of <br /> 222 EAST WEBER AVENUE Emergency Operations <br /> �4l/FORN`P• STOCKTON, CALIFORNIA 95202 <br /> TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> September 29, 2000 <br /> BOSTON MARKET#0660 Account No.: 9409 <br /> ATTN RAMONA KAHANEK <br /> 14123 DENVER WEST PKWY <br /> GOLDEN CO 80401-4056 <br /> SUBJECT: INVOICE FOR FACILITY AT 514 W KETTLEMAN 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 /> _ ITEMIZED HARGES <br /> 9/28/2000 2000 HMMP Annual Fee $255.00 <br /> 9/28/2000 Backbill- HMMP Fee for 1999 $255.00 <br /> 9/28/2000 Backbill -HMMP Fee for 1998 $255.00 <br /> Please pay this amount: $765.00 <br /> Payment Due Date: 11/13/2000 <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 pavment schedule. Please contact our office at 468-3969 to make arrangements. <br /> SAN JOAQUIN COUNTY OFFICE bW EMERGENCY SERVICES <br /> DETACH <br /> ----- ----------------------------------- ------ <br /> — — ---------- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> SAN JpAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES , <br /> Payment Due Date: November 13, 2000 Total Amount Due: $765.00 Account No.: 9409 <br /> Site Address: BOSTON MARKET#0660 <br /> 514 W KETMEMAN LN <br /> LODI,CA 95240 <br /> BRF-06 Revision 7/96 <br />