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SAN JOAOUIN COUNTY PUBLIC tWTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIVI, <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID ( AR0010950 <br /> FA0007342 <br /> Facility ID <br /> Date Printed 5/10/01 <br /> ROBERT D MIHALOVICH RE : CHEVRON PIPELINE/RENOWN PROPE <br /> CHEVRON ENVIRONMENTAL MANAGEME] 990 BEECHNUT AVE <br /> 6001 BOLLINGER CANYON RD RM#K2072 TRACY CA 95376 <br /> SAN RAMON CA 94583 OWNER: CHEVRON PIPE LINE CO <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice# IN0083026---Date of Invoice: 4/23/01 <br /> 3/20/2001 2960 312 CONSULTATION 0.9 INFURNA $78.30 <br /> Total for this Invoice $78.30 <br /> Payment Due Date 6/9/2001 <br /> TOTAL DUE this Billing Period $78.30 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> RECE'VED <br /> MAY 1 0 2001 <br /> SAN JOAQLIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />