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SAN JOAQUIN COUNTY PUBLIC HEP 7,TH SERVICES Page 1 <br /> ENVIRORMENTAL HEALTH DIVISIL. �..[ <br /> 304 t WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account 14 AR0010260 <br /> Facility 1 FA0007093 <br /> Date Printe 4/24/00 <br /> Lot <br /> RE: QUALEX <br /> QUALEX 555 INDUSTRIAL PARK DR <br /> 555 INDUSTRIAL PARK DRIVE MANTECA CA 95336 <br /> MANTECA CA 95336 OWNER: QUALEX <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069791 -•-Date of Invoice: 4/19/00 <br /> 4119/2000 2227 GEN 5Q5 TONS PERMIT $1,400.00 <br /> 4/19/2000 2231 HAZARDOUS WASTE PBR FACILITY $648.00 <br /> 4119/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice 2,058.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period 2,058.00 <br /> Please make Checks PAYABLE to: PHS/EHD f 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 /> PAY �a <br /> �6C'_j'V� <br /> SANJOA']UIN COU"i v <br /> 7UBLL%HEA1.7H SERVICES <br /> ENVIRONtiF>'.r�L HEALTH DNISIOi� <br /> 5255.rpt <br />