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y SAN JOAOUIN COUNTY PUBLI EALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH 11VI(SION �.. <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0016007 <br /> LMMMMOMMEMOMMS <br /> FA0009007 <br /> Facility ID Lummusnommommmill <br /> Date Printed 1/31/01 <br /> JACK ALQUIST RE : GUILD CLEANERS INC <br /> GUILD CLEANERS INC 17 S CHURCH ST <br /> <br /> OWNER: JACK ALQUIST <br /> I - Health - — -- --- --- - - - -- -- --- '--- - <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079579--Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN 45 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 00 <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks PAYABLE to: PHS/EBD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYN'7 <br /> RECEI%,/ED <br /> FEB 0 8 2001 <br /> CP,V_I,- <br /> 5255.rpt / <br />