Laserfiche WebLink
aSAN JOAOUIN COUNTY PUBLIC LTH SERVICES . Page 1 <br /> ENVIRONMENTAL HEALTH DIV ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0005769 <br /> LONOWNWEEMONA <br /> FA0005307 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> LNUMMMMMMMUMMIll <br /> TED COOPER RE : HOLZ RUBBER CO <br /> HOLZ RUBBER CO 1129 S SACRAMENTO ST <br /> PO BOX 241002 LODI CA 95240 <br /> LODI CA 95240 OWNER: DRYBURGH,JIM <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079301 ---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2231 HAZARDOUS WASTE PBR FACILITY $648.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $758.00 <br /> Payment Due Date 3 1 <br /> TOTAL DUE this Billing Period 758.00 <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 /> F,aY'.N. .IT <br /> RECEIVED <br /> FEB 2 0 2001 <br /> SAN JOAODU!N COUNTY <br /> PI_181 IC HEALTH S-RVTES <br /> ENVIRONWE!T41 HEF�LTIi UP/ISI<7N <br /> 5255.rpt <br />