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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRCINMEPITAL IAEALTH DIV -wON S 'ement Printed : 09 /23j96 <br /> s 3JA,�E WEBER AVENUE — 3RD._,,, ,BOOR <br /> 1PO BOK 388 <br /> STQCKTON, . CA 95201--0388 <br /> Actnunting Of /i�c,e '_.. 2--09'-&J8--3420 <br /> v <br /> TO . OCCIDENTAL CHEMICAL ---- <br /> 2701 E HAMMER LN #103 / Account # 0003754 <br /> STOCKTON , CA 95210 <br /> ATTN.: TREATEK /ERIK FRIEDRICH /u��/S� Facility ID 004094 <br /> RE : OCCIDENTAL CHEMICAL <br /> 16777 HOWLAND RD LATHROP <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Descrip-tio_rt._ H r s Employee Amount <br /> Invoice # 018498 -- ©ate of Invoice : 04/24/95 <br /> 03/09/95 2954 REPORT REVIEW 2 . 0 KNOLL $156 . 00 <br /> 03 /21 /95 2954 REPORT REVIEW 2 . 0 KNOLL $156 . 00 <br /> 03/29/95 2954 REPORT REVIEW 3 . 0 KNOLL $234 . 00 <br /> 06/12/95 PAYMENT $--546 . 00 <br /> 08/02/96 2954 REPORT REVIEW 2 . 0 KNOLL $156 . 00 <br /> 08/13/96 2954 FIELD CONSULT 1 . 0 ROWE $78 . 00 <br /> Total for this in�oice : $234 .00 <br /> Payment DUE ;DATE 1 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> P <br /> OCT 2 21996 <br /> SAN JOAQL'ily <br /> PUBLIC HEALTH SEr,viCES <br /> ENVIRONMENTAL HEALTH G14'IIuiV <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 10% of the Service Fee <br /> at the rate of 100% of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : $234 . 00 <br /> Please Make CHECKS PAYABLE to : #"" II--II N:::::: 11.111 11 <br /> $234 . 00` $0 . 00 $0 . 00 $0 . 00 $0 00 $23A . 00 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Account <br /> Balance <br />