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SAN JUAQ�N COUNTI PUBLIC-HEALTH Report ¢5255 <br /> ENVIRONMENTAL HEALTH DIVIST Stat nt Printed: 08/22/96 <br /> 304 E WEBER AVENUE - 3RD FLW <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> I[ r-1 <br /> TO: LEVINE FRICKE <br /> 1900 POWELL ST STE 1200 Account # 0009208 <br /> EMERYVILLE, CA 94608 <br /> ATTN: GREG TAYLOR Facty ID 006743 <br /> RE : HOLT LEAK SITE <br /> COOK RD HOLT <br /> PLEASE RETURN a COPY of T9I9 STATIE93T with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 014384 -- Date of Invoice: 09/07/94 <br /> 09/05 /94 PAYMENT $-234 . 00 <br /> 09/13/94 2960 REPORT REVIEW 1 . 0 SASSON $78 . 00 <br /> 09/14/94 2960 FIELD CONSULT 3 . 3 SASSON $257 . 40 <br /> 10/12/94 2960 CONSULTATION 0 . 3 SASSON $23 . 40 <br /> 10/20/94 2960 FIELD CONSULT 2 . 5 SASSON $195 . 00 <br /> 10/21 /94 2960 FIELD CONSULT 1 . 2 SASSON $93 . 60 <br /> 04/11 /95 2960 REPORT REVIEW 0 . 4 SASSON $31 . 20 <br /> 09/08/95 2960 REPORT REVIEW 0 . 5 SASSON 539 . 00 <br /> 03/24/96 PAYMENT $-483 . 60 <br /> 03/19/96 2960 REPORT REVIEW 1 . 0 SASSON 578 . 00 <br /> ------------------------------------- <br /> Total for this invoice: $78 .00 <br /> Payment PAST DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> FAST IDUIL-Ed9 <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> PENALTIES far all EBBS for S3RVIC3 w11 be ASSESSED <br /> PEIIALTI3S will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 10% of the Service Fee <br /> at the rate of 100% of the Base Fee 30 days after the Payzent DUE DATE <br /> 30 days after tte Payment DUE DATE. and 3AC9 30 days thereafter. <br /> TOTAL DUE this Billing Period: 578 . 00 <br /> Please Make CHECKS PAYABLE to: P H S / H:HD <br /> 50 . 00 $0 . 00 $0 . 00 $0 . 00 $78 . 00 $78 . 00 <br /> ,� 1 �^ 90 d^ 91 to .'_0 days > 1'L da',s Account <br /> 0 to 30 days 31 �o 50 ,.a,� S �� � �`,'� 4 <br /> Balance <br />