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SAN JOAQUIN COUNTY PUBLIr HEALTH SERVICES <br /> Report #5255 <br /> ENVIRONMENTAL HEALTH DI ION /2 <br /> 304,E M� <br /> WEBER AVENUE — 3RD FLOOR Otement Printed : 01 /29/99 <br /> .3TOCKTON , CA 95202 �P.(� � L61 <br /> Accounting Office : 209 468-3420 r <br /> r-s h.r ea .a_ tz xnu <br /> TO : PACIFIC COAST PRODUCERS* <br /> 835 S STOCKTON STREET <br /> � oV Account # 0000540 <br /> LODI , CA 95240-4893 <br /> ATTN : PACIFIC COAST PRODUCERS S. g <br /> Facility ID 000541 <br /> RE : PACIFIC COAST PRODUCERS* <br /> 835 S STOCKTON IST <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> LoateDescription Hrs Employee Amount <br /> Invoice # 053980 -- Date of Invoice: 01/28/99 <br /> 01/28/99 2228 GEN 25<50 TONS PERMIT $1 , 600 . 00 <br /> 01/28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01 /28/99 2301 UST State Surcharge Fee Tank # PR507682 $8 , 00 <br /> 01/28/99 2360 UST Permit Fee Tank # TA188705 $170 . 00 <br /> ----------------------- — <br /> ---- — <br /> Total for this invoice :— $1 , 788. 00 <br /> @3/01/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE <br /> PgYA4EN7. <br /> MAR 2 3 1999 <br /> PUBLIC HAQUIN COUNTY <br /> ENVIROry,VIENTAL HEq 7RV; <br /> ICES <br /> ,VwION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 61 days <br /> at the rate of 100% 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: $1, 788.00 <br /> Please make Checks PAYABLE to: PHS/EHD <br /> i • <br />