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N JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> .1VIRONMENTAL HEALTH DIVISP <br /> A4 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 20 <br /> ID AR0003277 <br /> p PR 2, 8 2000 Facility I FA0003699 <br /> Date Printed 4/24/00 <br /> RE: DSS COMPANY <br /> DSS COMPANY 639 W CLAY ST <br /> PO BOX 6099 STOCKTON CA 95206 <br /> STOCKTON CA 95206 OWNER: DSS COMPANY <br /> Health <br /> Date Proaram Description Hrs Employee Amount <br /> Invoice# IN0069512--Date of Invoice: 4/19/00 <br /> 4/15/2000 9991 Credit Adjustment -$10.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $16.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $456.00 <br /> Payment Due Date 7/24120-00- <br /> TOTAL DUE this Billing Period $456.00 <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 after the Invoice Date and each 30 thereafter <br /> R E C EIV <br /> bMAY <br /> SAN JJAWUIN CCLIN I Y <br /> 'UBUC HEALTH'EFWICES <br /> NVIRONME'N7al HE.a,,:I'H DIVISION <br /> 5255.rpt <br />