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SAN JOAQUIN COUNTY PUBLIC EALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIV N S ment Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3R 0OR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> T- 1-1 <br /> TO : Q—LUBE <br /> 3927 MC HENRY AVE Account # 0017067 <br /> MODESTO , CA 95356 <br /> ATTN : STUART BURNHAM Facility ID 0100 7 <br /> RE : Q—LUBE 11 <br /> 4715 N WEST LN <br /> STOCKTON` <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice 0 057210 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 , <br /> ---------------------------- ------- <br /> Total for this invoice: '$48. 9950 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 6/20/ <br /> Invoice N 059402 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 00 <br /> 05/18/99 2220 Sr ,,HW, GEN (5 TONS/YR $100 . <br /> ----------------------------- <br /> Total for this invoice : 6110. 00 <br /> 0 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 9 <br /> F►deYfVt1ENT <br /> JUN 9AS 29 FEES penalties will <br /> Penalties will be added on all permits <br /> $A++DtU a rate of ili 60 days <br /> at the rate of 111Y of the Rase Fee 31 Ewviaoeuc iuc to and each 31 days <br /> days after the due date. THI�IYt�Pker, <br /> TOTAL DUE this Billing Period: 6128.50 <br /> Please make Checks PAYABLE to: PHS/EHO <br />