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�UUFII I i J l. Jl. ii, 01L11i .L itVI L oeyvi . ..... <br /> ENVIRONMENTAL HEALTH DIVISI,�' State ,nt Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3RD. FLy/t '"/ <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> :L r-e v o i c: <br /> TO : WOOLSEY OIL INC -- <br /> 166 FRANK WEST CIR ' A�o�ou If 0016109 <br /> STOCKTON , CA 95206 ., <br /> ATTN : TOM BENNETT Facility ID 009109 <br /> RE : WOOLSEY OIL INC <br /> 930 E VICTOR RD <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> [Dat:eDescription Hrs Employee Amount <br /> Invoice $ 058481 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $100. 00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 60 days <br /> at the rate of liii of the Base Fee 31 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $100 .00 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> f . suN�-5'i399 <br /> SAN JOAO, I <br />