Laserfiche WebLink
Page 1 <br /> • SAN JOAQUIN COUNTY PUBLIC H�TI�ItVICES _• (�91 'p.rcrz. <br /> ENVIRONMENTAL HEALTH DIVIS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0000851 <br /> Facility ID FA0000853 <br /> Date Printed 4/24100 <br /> LUMMMMMMOMMill <br /> DRS HOSP OF MANTECA/ACCTS PAY RE: DOCTORS HOSPITAL OF MANTECA <br /> DOCTORS HOSPITAL OF MANTECA 1205 E NORTH ST <br /> 1400 FLORIDA AVE STE 204 <br /> MODESTO CA 95350 OWNER: DOCTORS HOSPITAL OF MANTECA <br /> Health Hrs Employee Amount <br /> Date Program Description <br /> Invoice# IN0069283—Date of invoice: 4119/00 <br /> $100.00 <br /> 4/19/2000 2234 HAZARDOUS WASTE CESW FACILITY Tank#002 $170.00 <br /> 4119/2000 2315 Underground Storage Tank EH Operating Permit Fee $10.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC ST4TE SEIRVICUEE Total for this Invoice $280.00 <br /> Payment Due Date 5124/2000 <br /> TOTAL DUE this Billing Period $280.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will he added to all Permit Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%ofthe Base Fee 60 Days after the Invoice Date and eadr 30 thereafter <br /> 30 Days after the Due Date <br /> JUN 122 <br /> PU6LIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DNIS'Ur <br /> 5255.rpt <br />