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SAN JOAOUIN COUNTY PUBLIC ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIV*rgbN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountiD AR0016912 <br /> FA0009912 <br /> Facility ID Lummommosesenesed <br /> Date Printed 1/31/01 <br /> LOMMMEMWAMOME <br /> ANN L WUNSCH RE : BIG W SALES <br /> BIG W SALES 1040 W CHARTER WAY <br /> PO BOX 6889 STOCKTON CA 95206 20 <br /> STOCKTON CA 95206 OWNER: WUNSCH,CLIFFORD D <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080237--Date of Invoice: 1/30/01 <br /> 1/30/2001 2221 USED OIL ONLY-<5 TONSNR $50.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Period $60.00 <br /> Please make Checks PAYABLE to: PHS/EHD / 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 /> 4:,) �'� PAYMENT <br /> V� �� �Gj RECEIVED <br /> Q� yQy FEB 0 2001 <br /> SANJoA- I1, <br /> 4(b jj <br /> 5255.rpt <br />