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• SAN JOAOUIN COUNTY PUBLIC B-_,,LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209465-3420 <br /> INVOICE Account ID AR0013272 <br /> LMMENOMMEMMME <br /> FA0007684 <br /> Facility ID <br /> Date Printed1/31/01 <br /> LMMMMMMOMMA <br /> MICHELLE FRANCO SAFETY OFFICER RE : F G L ENVIRONMENTAL <br /> F G L ENVIRONMENTAL 2500 STAGECOACH RD <br /> <br /> OWNER: NELSON,DARRELL <br /> Health <br /> pato.__ P ocram Description Hrs Employee Amount <br /> Invoice# IN0079282—•Date of Invoice: 1/30101 <br /> 1/3012001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 113012001 2234 HAZARDOUS WASTE CESW FACILITY $100.00 <br /> 113012001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $210.00 <br /> Payment Due Dale 2120 <br /> TOTAL DUE this Billing Period $210.00 <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 /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2001 <br /> SAN JOAOUIN E:- ' <br /> pl,BttC HEAITH`-'J <br /> 5255.rpt <br />