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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 152$5 <br /> ENVIRONMENTAL HEALTH DIVAN St ment Printed : 01/29 /99 <br /> 304 E WEBER AVENUE — 3RD OR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> 3- ti %..e (:0 <:: vap <br /> TO : LUSTRE—CAL NAME PLATE CO <br /> PO BOX 439 Account # -0003702 <br /> LODI , CA 95241 <br /> ATTN : JIM ELLIS Facility ID 004053 <br /> RE : LUSTRE—CAL NAME PLATE CO <br /> 110 E TURNER_ RD-1-11- -­7 <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 054262 -- Date of Invoice: 01/28/99 <br /> 01 /28/99 2227 GEN 5(25 TONS PERMIT $1 , 400 . 00 <br /> 01 /28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 10 . 00 <br /> 01 /28/99 2232 HAZARDOUS WASTE CA FACILITY PERMIT ---- $648 • <br /> --------------- <br /> Total for this invoice: $2,058 . 00 <br /> Payment DUE DATE 03/01/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> FEB 2 21999 <br /> SAN JCC.,^.,;jjdv,l"JQI; — �•..��• <br /> .. dfvvlFpuau 'ONutetar' y�EAVI ES <br /> ALSH DIVISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 11% 61 days <br /> at the rate of 1111 of the Base Fee 31 Past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $2 .056.00 <br /> Please make Checks PAYABLE to: PHS/EHD <br />