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SAN JOAQUIN COUNTY PUBLIC ALTH SERVICES Report #5255 ENVIRONMENTAL HEALTH DIVISION 1145 N SAN JOAQUIN STREET PO BOX 388 STOCKTON , CA 95201-0388 t Accounting Office : 209 468-0340 +, TO : LAKESIDE _ 1.210 W TURNER RD Account # 9003538wT LODI , CA 95240 - -- ATTN : LOWRY , DANIEL D [7acillty 110 003933 RE : LAKESIDE Billing Date : 11. /10 /94 1216 W TURNER RD LODI PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT Service Activity Date Description Hrs Employee Amount Invoice # 000033 -- Date of Invoice : 05/21/93 04 /12/93 UST FEES $3 , 564 . 01 05/03/93 PAYMENT $-300 . 00 016 /17/93 CORRECTION TO A CHARGE �� $- 600 . 00 06/03/93 PAYMENTPA Y $-300 . 00 08/10/93 PAYMENT Ri V E $--80 . 00 08/17/93 PAYMENT NOV 2 8 1994 $-220 . 00 10/15/93 PAYMENT SAN JOAQUIN COUNTY $-300 . 00 11/30/93 PAYMENT PUBLIC HEALTH SERVICES $-300 . 00 01 /24 /94 PAYMENT e�/2��/�� PAYMENT - �- -- Ei�Y1R4N��NTALFiEALTHDIVISION $-100 . 00: , . :-$-1-00 o 0,6 09/04 /94 PAYMENT $-100 . 00 10 /26/94 PAYMENT $-100 . 00 Total for this invoice : $1 , 064 .00 If this INVOICE has been Paid , Please Disregard this Notice . . . . . . and DEDUCT the Amount Paid from the TOTAL DUE Invoice # 004218 ---• Date of Invoice : 09/17/93 09/15/93 PAYMENT $--936 . 00 09 /28/93 2380 UST PERM CLOSURE PLAN CHEC 1 . 0 TREVENA $78 . 00 1.0/05/93 2380 UST PERM CLOSURE FLAN CHEC 0 . 5 TREVENA $39 . 00 :.0/13/93 2330 UST PERM CLOSURE PLAN CHEC 0 . 2 TREVENA $15 . 60 10/29/93 2380 UST PERM CLOSURE PLAN CHEC 4 . 5 TREVENA $351 . 00 11 /16/93 2380 UST PERM CLOSURE PLAN CHEC 1 . 5 TREVENA $1.17 . 00 11 ,/1$/93 2380 UST PERM CLOSURE PLAN CHEC 1 . 0 TREVENA $75 . 00 11/19/93 2380 UST PERM CLOSURE PLAN CHEC 0 . 2 TREVENA $15 . 60 01 /18/94 Service-based Penalty $48 . 36 12/24/93 2380 UST PERM CLOSURE PLAN CHEC 0 . 3 TREVENA $23 . 40 1.2/30/93 2380 UST PERM CLOSURE PLAN CHEC 0 . 3 TREVENA $23 . 40 01 /03/94 2380 UST PERM CLOSURE PLAN CHEC 0 . 3 TREVENA $23 . 40 02/23/94 2380 UST PERM CLOSURE PLAN CHEC 1 . 0 TREVENA $78 . 00