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10 <br /> SAN JOAOUIN COUNTY PUBLIkEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0009941 <br /> FA0006972 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> RE : TSI TRANS SYSTEM INC <br /> TSI TRANS SYSTEM INC 707 ROTH RD <br /> PO BOX 3456 LATHROP CA 95296 <br /> SPOKANE WA 99220 OWNER: TSI TRANS SYSTEM INC <br /> Health <br /> Date Program Description Hm Emr!oyee Amount <br /> Invoice# IN0079557---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#001 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice --$fil_.00 <br /> Payment Due Date 3/2/20Q1 <br /> TOTAL DUE this Billing Period $618. 0 <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 /> R'A'YMENT <br /> RECEOVED <br /> FEB 12 2001 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />