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. iN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 1$255 <br /> ENVIRONMENTAL HEALTH DIVI...'IN Sta'-ment Printed : 05/20 , <br /> 304 E WEBER AVENUE - 3RD OR <br /> 3TOCKTON , CA 95202 4 <br /> 741counting Office : 209 468-3420 <br /> Z rl *✓ CIO C- <- <br /> TO : <br /> <br /> <br /> F1TTN : FRANK H PELKO JR Facility ID 009012 <br /> RE : PAYLESS FOREIGN CAR REPAIR YYY <br /> 26 N CHEROKEE LN B <br /> LODL <br /> PLEASE RETURN a COPY of THIS STATEMENT with 1bUR PAYMENT <br /> Service Activity <br /> [Date Description - Hrs Employee Amount <br /> Invoice d 056270 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE: FEE $18 . 50 <br /> Total for this invoice : $18.50 <br /> Payment DUE DATE 6J1: <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 058387 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $I-0 . 00 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR $100 . 00 <br /> --------y-------------- --- -- - <br /> Total for this invoice : ----- <br /> nvoice : --- ;110 . 00 <br /> Payment DUE DATE 6/20/99 <br /> /20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> RECEIVED <br /> JUN 2 51M <br /> for all SERVICE FEES penalti� c ¢, au,vccwav <br /> Penalties will be added on all Permits be added at the rateof €N6rB®J nii" 7MICES N <br /> at the rate of lift of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter, <br /> TOTAL DUE this Billing Period : $128 . 5Otl <br /> Please make Checks PAYABLE to: PHS•JEHD <br />