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SAN JOAQUIN COUNTY PUBLIC HF".TH SERVICES Page I <br /> ENVIRONMENTAL HEALTH DIVIS, <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> <br /> Facility ID FA0009699 <br /> Date Printed 7/18/00 <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 M IN0070319—Date of Invoice: 4/19/00 <br /> 6/1/2000 9999 PAYMENT -$10.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE ^ $10.00 <br /> Total for this Invoice $100.00 <br /> Payment Due Date 5/26/2000 <br /> TOTAL DUE this Billing Period $100.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties wiff be added e to all Permit Fees or n <br /> at the Rate of 100%of Ore Base Fee Penalties will he added at lire Rate o//''10% <br /> 30 Days after the Due Date 60 Days afterthe Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> AUG 10 2000 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />