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SAN 38AVUIN COUNTY PUBLICALTH SERVICES Report 152B <br /> ENVIRONMENTAL HEALTH N St����ment Printed : 0S/20 /99 <br /> ?04 '-� WEBER AVENUE — � OOR — <br /> ~STOCKT0N , CA 95202 <br /> Aocountlng Office : 209 468-3420 <br /> TO : JIFFY LUG[ <br /> 3990 W YOSEMITE AVE Account # 0016822 <br /> LATHROP , CA 95330 <br /> ATTN : PAUL E HA8BOTT Facility ID 009822 <br /> RE : JIFFY LUBE <br /> 1130 H MAIN ST <br /> MANTECA <br /> Pi[0[ RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 055982 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STAT[ SERVICE FEE *18 . 50 <br /> _______________________________ _ <br /> Total for this invoice : 0 <br /> Payment DU[ DAT[ 06/ Q <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> uicm # 059166 -- Date of Invoice : 05/18/99 <br /> /18/99 2.399 UNIFIED PROGRAM FAC STATE SERVICE FEE � 0 <br /> /18/99 2220 SM HW GEN (5 TONS/YR $1�0 , �0 <br /> ' <br /> ------------------------------------ <br /> Total for this invoice : $110 ' 00 <br /> \' <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice PtYMENT <br /> L1 <br /> �K r��CEIVED <br /> �*ouwnouwr/ <br /> ' ' ':!I"- LITH SFRVICES <br /> �svmomwL1vTAL*sxcnHDIVISION <br /> ( ~ <br /> br all S0YlC[ FEES penalties will <br /> Penalties will he added on all Permits be added at the rate of 10% 60 days <br /> at the rate of 100% of the Base Foo 80 past invoice date and each 30 days <br /> days after the duo dab. thereafter. <br /> TOTAL DUE this Billing Period : <br /> $128- <br /> Please make Checks PAYABLE to ; PHS/EHD <br /> J r— n' <br /> PIJUN 04 '1999 <br /> -~�- <br /> ^---^-~-~---~-----^-^~~--~~~ <br />