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SAN JOAQUIN COUNTY PU3LIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH )IVT--ON Stp" ament Printed : 05/20/99 <br /> 304 E WEBER AVENUE -- RD OOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 2 9 468-3420 <br /> TO : CRYSTAL GLEANRS <br /> 1296 W 11TH s'r Account # 0016148 <br /> TRACY , CA 95:376 <br /> ATTN : ASHOK PATEL Facility ID 009148 <br /> RE : CRYSTAL CLEANERS <br /> 1296 W 11TH ST <br /> TRACY <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description H r s Employee Amount <br /> Invoice # 056387 Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIE ) PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> -—————————————————---—— <br /> Total for this invoice : 18- 50 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 0 20 <br /> Invoice # 058518 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR <br /> --—————————————————————————————— --—---- <br /> Total for this invoice: 10. 0 <br /> 43 <br /> Payment DUE DATVA'YtAt��--'j' & 0 <br /> 6 <br /> If this INVOICE has been Paid, Please Disregard this Notice FFC <br /> SAN ')uIt4 C'} <br /> pu''Ur HEN TO <br /> -I-"ISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 102 60 days <br /> at the rate of 100% of he Base Fee 30 past invoice date and each 30 days <br /> days after the d date. thereafter. <br /> TOTAL DUE this Billing Period: $128. 530 <br /> P1 ase make Checks PAYABLE to: PHS/EHD <br />