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SAN dOAOUIN COUNTS'PUBLIC ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STO <br /> <br /> lD AR0016699 <br /> Facility ID FA0009699 <br /> Date Printed 1/31/01 <br /> ROBERT D GOSSARD RE : PG&E WEST LN SUBSTATION <br /> PG&E 4040 WEST LN <br /> 2730 GATEWAY OAKS DR STOCKTON CA 95204 20 <br /> SACRAMENTO CA 95833 OWNER: PG&E <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# ING080063--Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days afterthe Invoice Date andeach 30 thereafter <br /> PA . <br /> REQ <br /> FEB 2 <br /> SAP!dCi:.. <br /> 5255.rpt <br />