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JOAQUIN COUNTY PUBLIC ITH SERVICES Page 1 <br /> ' ENVIRONMENTAL HEALTH DIVIMN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420420 <br /> INVOICE Account I AR0017154 <br /> LMMMMOMMEMNA <br /> Facility I FA0010154 <br /> Date Printed 4/25/00 <br /> JANICE ANDERSON RE: GOLDEN STATE IRRIGATION SVCS <br /> GOLDEN STATE IRRIGATION SVCS 1648 N SHAW RD <br /> <br /> OWNER: JAMES CLARE <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice# IN0070685--Date of invoice : 4/19100 <br /> 4/19/2000 2221 USED OIL ONLY-<5 TONS/YR $50.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $60.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Period $60.00 <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%ofthe 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 /> F?AV!A41E, -I <br /> RECEIVED <br /> wy <br /> SAN JOAQUIN COUNTY <br /> ?UBLIC HEALTH SERVICES <br /> �N <br /> F_NMRONMENTAL HEAt- <br /> 5255.rpt <br />