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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTDOT <br /> 304 E WEBER AVE -3RD FLOOR <br /> Sr OCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> IN <br /> CC Account ID AR0009208 <br /> Y G Facility ID FA0006743 <br /> a �raarc�ctmas�: <br /> Date Printed 12/19/2002 <br /> LVEMMum-200mmm=11-1.14 <br /> KEITH SHEETS RE : HOLT LEAK SITE <br /> CH2M HILL COOK RD <br /> 155 GRAND AVE STE 1000 HOLT, CA 95234 <br /> OAKLAND, CA 94612 <br /> OWNER : SANTA FE PACIFIC PIPELINE PTRS <br /> Date Health -- _ Amount <br /> Program Description _ ___�, <br /> Invoice# IN0099617---Date of invoice: 10/18/2002 Hrs Employee <br /> 9/16/2002 2960 315-REPORT REVIEW <br /> 1.00 WONG $ 89.00 <br /> Total for this Invoice $ 89.00 <br /> Payment Due Date 11/20/2002 <br /> TOTAL DUE this Billing Period $ 89.00 <br /> Please make Checks PAYABLE to: '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 Days thereafter <br /> 5255.rpt <br />