Laserfiche WebLink
06-28-2000 04:06PM FROM <br />Vfu• 0/ -A (val. %-%J4jl\ J 1 rUDLJt- r \LIki JLKVIC:EN <br />ENVIRONMENTAL HEALTH DM N <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />X209=468'-3420 <br />INVOICE <br />TO 19168543643 P.01 <br />Page 1 <br />Account ID <br />AR0009076 <br />Facility ID,FFA0006696 <br />Date Print <br />6/2$/00 <br />CA ARMY NATL GUARD/COMBINES SU RE: CA 1F NATL GUARD/COMBINED SUP <br />CALIF NATL GUARD/COMBINED S P 802.0 S AIRPORT WAY <br />8020 6 AIRPORT T Wy _la) <br />ox ` 2l 10 t <br />STOCKTON CA 952063999 <br />C -P q58 21.0 -q to I <br />OWNER: CALIFORNIA ARMY NATIONAL GUA <br />Health -----..-�_._ - -- -__-- <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0069762 — Date of Invoice : 4119100 <br />4/192000 2247 RCRA GEN 5<25 TONS $1,400.00 <br />4/192000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 510.00 <br />Total for this Invoice $1,410.00 <br />Payment Due Date 5/26/2000 <br />TOTAL DUE this Billing Period $1,410.0 <br />Please make Checks PAYABLE to, PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be a&fccfto all Permit ccs For all SER I(FE FEES <br />atihe Rate of 100%ofthe Base Fcc Penalties will ba added at the Ratc of 10% <br />30 Days after the Due Daic 60 Days after the Invoice Date and each 30 thereafter <br />6/- <br />.2F/v-o <br />- �-A K=rAy <br />Pill -i1 > 00Z- ;"4c) , (I L C!;� 0 <br />c2j <br />5255 -,pt <br />TOTAL P.01 <br />