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Page 1 <br /> A JOAQUIN COUNTY PUBLIC Hr TTY vRVICES ✓ <br /> .NVIRONMENTAL HEALTH DIVIS)t—r L <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0003346 <br /> Facility I FA0003767 <br /> Date Prints 5/23/00 <br /> RE: JOHN TAYLOR FERTILIZER <br /> JOHN TAYLOR FERTILIZER 1819 S ARGONAUT ST <br /> PO BOX 6098 STOCKTON CA 95206 <br /> STOCKTON CA 95206 OWNER: TAYLOR-WISEMAN DIVISION <br /> Health <br /> Date Program Description <br /> Hrs Employee Amount <br /> Invoice# IN0069546---Date of Invoice: 4119100 <br /> -$10.00 <br /> 4/15/2000 9991 Credit Adjustment $100.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $16.00 <br /> 4/1912000 2301 UST STATE SURCHARGE <br /> 4119/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#004 $770.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoicel $456.00 <br /> Payment Due Date 6/22/2000 <br /> TOTAL DUE this Billing Period <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 /> IENI <br /> MAY 2.220 <br /> SAN JOAQUIN COUNTY <br /> ENVIgO13UC F`1EPITH SERVICES <br /> NTAL HEALTH )'Vi-glrJ v <br /> 5255.rpt <br />