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r }r <br /> 'aPa 'cOa COUNTY OF SAN JOAQUIN <br /> ` OFFICE OF EMERGENCY SERVICES Ronald E. Baldwin <br /> ROOM 610,COURTHOUSE Coordinator <br /> 222 EAST WEBER AVENUE <br /> STOCKTON, CALIFORNIA 95202 <br /> TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> December 17, 1997 <br /> AMERICAN MEDICAL RESPONSE Account No.: 8973 <br /> GO DALE JONES <br /> P.O. BOX 692170 <br /> STOCKTON,CA 95269-2170 <br /> SUBJECT: INVOICE FOR FACILITY AT 888 E LINDSAY ST STOCKTON <br /> 1 eollowing 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 /> 12/17/97 H EAP Annual Fee $285.00 <br /> Please pay this amount: $285.00 <br /> Payment Due Date: 2/2/98 <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 /> U � <br /> DETACH AND REMIT WITH PAYMENT <br /> --=------------- -------------------- ------------------------------------------------------------------- - <br /> OFFICE OF EMERGENCY SERVICES �y 1Y <br /> ROOM 610, COURTHOUSE 9 _ <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 „tt <br /> Payment Due Date: February 2, 1998 Total Amount Due: $285.00 Account No.: 8973 <br /> Site Address: AMERICAN MEDICAL RESPONSE <br /> 888 E LINDSAY ST <br /> STOCKTON,CA 95202 <br /> BRF-06 Revision 7/96 <br />