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is <br /> El�ff S C INVOICE <br /> De artment of Toxic <br /> Su tances Control <br /> TO: SHO T STOP FOOD MART Date: 1224/2020 <br /> 20 WI TURNER RD STE-A VQ Number: 20 098718 <br /> LODI ICA 95240-0000 FEIN: 53 235796 <br /> PA ID Number Verification Flee <br /> Total EPA 10 Numbers 1 <br /> EPA ID Num er Verification Fe Rate $0.00 <br /> ( erilication amount or maximum of 5000.00, whichever amount is fess) otal $0.00 <br /> Hazardous Waste:Manifest <br /> Count Rte Amount <br /> Air Gam lian e Solvents 0 $3.50 $0.00 <br /> Non-Recycled 0 --$7.50- $0.00 <br /> ..Recycled 0 0.00 $0.00 <br /> Manifest C edit $0.00 <br /> I <br /> Total $0.00 <br /> EPA ID Number Verification Fee $0.00 <br /> Hazardous Waste Manifest Fee $0.00 <br /> Total Due $0.00 <br /> Check;Pa ,m1anj Cre it Card P went <br /> Please write I�e VQ Number on the check You are not required to su mit this invoice <br /> and make payable to the Department of when paying by credit card <br /> Toxic Substai ices Control (DTS ). <br /> Mail Check apd Copy of Invoi a to: <br /> Department o Toxic Substan s Control Submit . redit Car Payment <br /> Accounting U it <br /> PO Box 1288 <br /> Sacramento, A 95812-1288 <br /> T j is Ooectipri for Department Use O I <br /> ID No: ash ID No: Invoice No: <br /> Approved EjNot ApprovedF mount: <br /> Date: <br /> Check Check Amount: Check Date: <br /> 1256005;: 12560092: 12560065: <br /> 12560035: 1256091: 12560075. <br /> 12560096: i <br /> i <br /> i i <br />