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. +, <w<�vxoc IXUHLCn 11Y1, rrr-� uc <br /> SAN 3OAQUIN COUNTY PUBLIC�EALTH SERVICES Report 15255 <br /> ENVIRONMENTACHEALTH DIVISION Statemant Printed: 01/29/99 <br /> OLAI E I'ESER AVENUE .— 3RO FLOOR <br /> St? ¢k7fA)N, d,A' 45202 <br /> A yE i' AV Offics: 209 468 3420 <br /> {y, <br /> T` <br /> T61' ` QUALEX ---- <br /> 555 INDUSTRIAL PARK DRIVE Account # 0010260 I <br /> MANTECA , CA 95336 —— <br /> AT.TNs QUALEX Facility X0 007893 <br /> RE : QWALEX <br /> 555 INDUSTRIAL PARK DR <br /> 14ANTECA <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYNENT <br /> Service Activity <br /> Date Description Hre Employee Amount <br /> Invoice # 054332 -- Date of Invoice : 61/28/99 ' <br /> 01/28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $16. 00 <br /> 01/28/99 2231 HAZARDOUS WASTE PSR FACILITY PERMIT $648 . 00 <br /> 01/28/99 2227 GEN 5(25 TONS PERMIT $1 , 400 . 00 <br /> ------------------------------------- <br /> Total for this invoice: =2, 058.00 <br /> Payment DUE DATE 03/01/99 <br /> If this INVOICE bas been Paid, Please Oieregard this Netlee <br /> l <br /> For all SERVICE FEES penalties will <br /> Pwaltiu will be added on all Partite Is added at the rate of 110 61 days <br /> at the rate of Illi of the lase Fee 31 past invoice date and each 31 days <br /> dna s after the dVe data. thereafter. <br /> TOTAL DUE this Billing Period : $2,058. 00 <br /> Please make Checks PAYABLE to : PHS/EHD <br />