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AN 0A4UIN COUNTY PURL1.0 AL I II .;LkVICL5 Report 05255 <br /> ENVIRONMENTAL HEAT-TIL DIVII Sta ent Printed : 05 /20/99 <br /> 304 E WEBER AVENUE - 3RD F R <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468--3420 <br /> T0 : STOCKTON WOOD SHAVINGS <br /> PO BOR 47 ;I—Ac Count N - 0017001 <br /> L001 , CA 95241 <br /> ATTN : TTM BATTAGtT.A Facility IO 010001 <br /> RE : STOCKTON WOOD SHAVINGS <br /> c130 E FRENCH CAMP RO <br /> FRENCH CAMP <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> ' ivica frliv7ty <br /> Date Description r n ,loyee Amount <br /> Invoice # 057146 -- Date of Invoice : 05/18/99 <br /> 05/1.8/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1.8 . 50 <br /> Total for this invoice : $18 . 50 <br /> Payment DUE DATE 06/20/ <br /> if this INVOICE has been Paid, Please Disregard this Notice <br /> *ice IN 059336 -- Date of Invoice : 05/18/99 <br /> 0 /18/99 2220 S11 IIW GEN <5 TONS/YR +100 . 00 <br /> 0F� /1F /99 2399 LINTFIEn PROGRAM FAC STATE SERVI"CF FFF $1-0 . 00 <br /> Total for this invoice : $110 . 00 <br /> Payment DUE 4ATE 06/20/99 <br /> If this INVOICE has been Paid, Please Oisregard thi< ice <br /> 0 <br /> ------------------------------------------------------------------------------------------ ----------------- <br /> USED OIL ONLY <br /> Facility Name: <br /> Facility Street Address: <br /> 31 <br /> City: <br /> Contact Person: Phone: l� <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount generated per year is less than 5 tons. <br /> Signed: dafla d A& <br /> • A Division of San Joaquin Counry Health Care Services <br />