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iN JUM14UIN COUNTY PUBLIC HEALTH SERVICES <br /> E4VIRONMENTAL HEALTH DI*ON Report #5256 <br /> L R <br /> 3 54 E WEBER AVE — 3RD FL R <br /> S -OCKTON , CA 95202 <br /> 209-468-3420 <br /> -------------------------- <br /> TO : KELLY TRUCKING ACCOUNT # 0014779 <br /> 4969 E WATERLOO RD ----------------------------- <br /> . STOCKTON , CA 95205 Statement Date : 01/28/99 <br /> ATTN : CHUCK KELLY <br /> L 0 C A T 1-0 N - _4'9 tt,&L 0 0 <br /> PERMIT # : <br /> DESCRIPTION : TA14K REMOVAL PLAN CHECK <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> Activity <br /> Date Description Activity <br /> Hrs Employee Amount <br /> Invoice # 050925 Invoice Created : 09/28/98 <br /> 0 /24 /98 P A Y M FN 7 <br /> /09/98 23 CLOSURE PLN CNCKIINSPECTION 1 . 0 BRIGGS $'234 . 00 <br /> 13/28/98 2380 034 UST PERM CLOSURE PLN CHMINSPECTION 0 . 3 BRIGGS $78 . 00 <br /> 1 /03/98 2380 034 UST PERM CLOSURE PLM CHCXIINSPECT10N 1 . 5 BRIGGS $117 . 00 <br /> 1 /23/98 2380 034 UST PERK CLOSURE PLY CflCK/IRSPECTIDN 1 . 0 BRIGGS $78 _00 <br /> Total for this Invoice : <br /> If this INVOICE has been Paid, Please Disregard this Notice PAYMENT DUE DATE <br /> 02 j28 j9 <br /> Please make Cheoks PAYABLE to : PHS/EHD <br /> PAYMENT <br /> FEB 4 1999 <br /> SAN JOA(�+ )N CL)U <br /> PUBLIC HEALTH 3 f�Ty <br /> ENVIRONNILINT,AC 1qD'tFRVjCr8 <br /> TH DfVI,9iC)N <br />