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SAN dOAOU1N COUNTY PUBLIC FINIKLTHSERVICES ,/ Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0010260 <br /> FA0007093 <br /> Facility ID <br /> Date Printed 2/28/01 <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# IND079206—Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 113012001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $ <br /> Payment Due Date 31212001 <br /> TOTAL DUE this Billing Periodl $110.0 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will he 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 100/ <br /> 30 Days fafter the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 160 <br /> r <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 2001 <br /> v_ <br /> 5255.rp1 <br />