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SAN ,JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15155 <br /> rAdV' '?ONP1ENTAL HEALTH OI *ON S ement Printed : 01f29/99 <br /> J04 WEBER AVENUE – 3R0OOK 1 <br /> STOCKTON , CA 95202 MAK <br /> 10 <br /> Accounting Office : 209 468-3420 <br /> ::1~ <br /> TO : PACIFIC COAST PRODUCERS* —. ___ ---.-- -- --- <br /> 835 S STOCKTON STREET Account # 0000540 <br /> LODI , CA 95240-4893 RECEIVED <br /> ATTN : PACIFIC COAST PRODUCERS Facility ID 000541 <br /> RE : PACIFIC COAST PRODUCERS* <br /> 835 S STOCKTON ST <br /> LODI <br /> PLEASE RETURN a COPY of THIS STRTENENT with YOUR PRYNENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 053980 -- Date of Invoice: 01/28/99 <br /> 01/28/99 2228 GEN 25(50 TONS PERMIT <br /> $1 , 600 . 00 <br /> 01/28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01/28/99 2301 UST State Surcharge Fee Tank # PR507682 $8 . 00 <br /> 01/28/99 2360 UST Permit Fee Tank # TA188705 • $170 . 00 <br /> ----------------------------- _ <br /> Total for this invoice: $1,788.00 " <br /> Payment DUE DATE 03/01/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Y <br /> AIAR 2 3 1999 <br /> SANJOAOU! <br /> P11131-/C HFgLTH COUNTY <br /> ENVIRONMEN'rAL HESE <br /> -R'CF-S'uivi& v <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 61 days <br /> at the rate of lift of the Base Fee 31 past invoice date and each 31 'days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $1 ,788.00 <br /> Please make Checks PAYABLE to: PHS/EHD <br />