Laserfiche WebLink
Daten. 5;27/2008 3:52:50PN SAN ' UIN COUNTY ENVIRONMENTAL Hf "'ti DEPARTMENT Report 05021 <br /> Run by Page2 <br /> Facility Information as of 5127/20t7d <br /> Record Selection Criteria: Facility ID FA0001783 <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT- 1,the undersigned owner.operator or agent of same,acknowledge that all site.and/or protea specific.PHSIEHD hourly charges associated with this <br /> facility or activity will be billed to the parry idenmfied as the OWNER on this farm. I also certify that all operations will be performed in accordance with all applicable Ordinate Codes andlor Standards and <br /> State andlor Federal Laws. <br /> APPLICANTS SIGNATURE: Date <br /> Program Records to be TRANSFERED: '$20.00= Amount Paid Date <br /> r Water System to be TRANSFERED: '$372.00= Amount Paid Date <br /> Payment Type Check Number Re 'v y o� <br /> RENS: Date / / Account out: Date <br /> COMMENTS: <br /> \\phs�hsgl-n ttapps\envisions\reports\5021.rpt <br />