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htlNONJd <br /> ENVIRONMENTAL HEALTH DIVI' ON St;- '�ment Printed : 05/20/99 . <br /> 304 E WEBER AVENUE — 3RD JOR <br /> STOCKTON , CA 96202 <br /> Accounting Office : 209 468-3420 <br /> r,:::► .:R:. C: 6211 <br /> <br /> <br /> <br /> PO BOX 357 Account # 0016052 <br /> LODI . CA 95241 03 <br /> ATTN : RICHARD THORPE ;y Facility ID 009052 <br /> RE : JIM THORPE OIL INC <br /> 351 N BECKMAN RD <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> __ <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice 11. 058425 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 i <br /> — — <br /> Total forthis Invoice: _ r—� $100. 00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> i <br /> PAYMENT � <br /> R,FCE W E0 <br /> JON 17 <br /> Sn^I JuAel11 COUNTY <br /> r+Uot_IW,far�> W9t0'1I0r_'0 <br /> QP}.tHrarlr�Ir,M aA► <br /> 4"61'ti pWiSION <br /> . .. .. .,, ,- -+'-rev..«�.}vw��aywrr�r.'vR'A'Mi!4"hkR�"�''MSA'�Wt,�''�1���''�"`°'.+;�y"'�'�wrti.ti'ai:;+�•",�i,wwk',teh'+",q:;rvRi91t�;.yr..y„ <br /> A <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 11I 61 days i <br /> at the rate of 111% of the Base Fee 31 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE Lhis Billing Period : $100. 00 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> i <br />