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'AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC: S Report 15255 <br /> ENVIRONMENTAL HEALTH DIV ';ION St - ement- Print. id : 0b /20/99 <br /> 104 E WEBER AVENUE — 3R[ LOOR <br /> ::. roCK'TON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> I'0 : PAYLESS FOREIGN CAR REPAIR <br /> <br /> <br /> i ATTN : FRANK H PELKO JR Facility ID 009012 <br /> RE : PAYLESS FOREIGN CAR REPAIR <br /> 26 N CHEROKEE LN B <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date 0esc ripti on Hrs EmPIoyee A1711 Lin It <br /> Invoice # 056270 -- Date of Invoice : 05/18/99 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FFE $18 . 50 <br /> Total for this invoice: $18 .50 <br /> Payment DUE DATE 6(20/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> I <br /> /oice # 058387 -- Date of Invoice : 05/18/99 <br /> o5/18 /99 2399 UNIFIED PROGRAM FAC ': Tr) rF. SERVICE FEF $10 . 00 <br /> 06/18/99 2220 SM HW GEN (5 T014S/YR $100 . 00 <br /> Total for this invoice: $110. 00 <br /> Payment DUE DATE 6/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> � *(aIUVEU <br /> JUN 2 51999 <br /> ' ----------------------------------------------------------------------------------------------------------------- <br /> USED OIL ONLY <br /> Facility Name 1 110 c OU V <br /> Facility Street Address: <br /> r City: T- <br /> Contact Person: Y -Cl Phone: 6--511C <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount generateder year ess th 5 tons. <br /> Signed: U1' 111 t J r 1 T f LJ <br /> A Division of San Joaquin County Health Cam Services <br />