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F ACCTREC Accounts Receivable <br /> Account ID 0016998 Facility ID 009998 Cross—Ref <br /> Responsible party <br /> Name MARCI ' S DIESEL SERVICE INC <br /> Care Of SHERRIE MARCI <br /> Street 2973 LOOMIS RD <br /> 2nd Address <br /> City STOCKTON State CA Zip 95205— <br /> Phone — — Ext <br /> Alternate Ext <br /> Alternate #2 — - Ext <br /> Census District Location City code <br /> Balances <br /> 1 to 30 $ 1.28 . 50 <br /> 31 to 60 $ 0 . 00 Last payment <br /> 61 to 90 $ 0 . 00 Promised Amount <br /> 91 to 120 $ 0 . 00 Sent to collections <br /> 121 Plus $ 0 . 00 <br /> Total Due $ 128 . 50 Prior month ' s balance <br /> F=Find E=Enter U=Update D=Delete Page 1 11 : 12 : 36a <br /> Account ID : 0016998 Name : MARCI ' S DIESEL SERVICE INC <br /> Posted Applied P /E Description Type Receipt # Check # Amount <br /> Invoice #057143 Status : Due : $ 18 . 50 <br /> 05/18/99 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE .18 . 50 <br /> ,-nice #059333 Status : Due : $ 110 . 00 <br /> 05/18/99 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 10 . 00 <br /> 05 /18/99 05/18/99 2220 SM HW GEN <5 TONS/YR 100 . 00 <br /> JUL 21999 <br /> USEp OILIARNLY <br /> Facility Name: mlu r i( t o TI-I-e- <br /> Facility Street Address: *,% "-?. 2 <br /> City: <br /> Contact Person: Phone: <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amou rated p ear is less than 5 tons. <br /> Signed: Z <br /> A Division of San Joaquin County Health Care Services <br />