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Sl1"'. JOAQUIN COUNTY PUBLIC 'EALTH SERVICES Report 15255 <br /> c'NVIRONMENTAL HEALTH OIVf 'ON Stment Printed : 02/25 /99 <br /> I 304 E WEBER AVENUE - 3RD NCOOR <br /> i STOCKTON , CA 95202. <br /> Accounting Office : 209 468-3420 <br /> Srt *✓ o1. x: 4a <br /> TO : KIP CORPORATION <br /> 1134 ENTERPRISE ST Account ff 0013256 <br /> f STOCKTON , CA 95204 — � <br /> ATTN : JAKE HARVEY Facility ID 007668 <br /> RE : KIP CORPORATION <br /> -1113'•4 ENT€-R'PRIS-E5T - - - --- - <br /> - - <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> [DaLteDescription Hrs Employee Amount <br /> Invoice # 054354 - Date of Invoice: 01/28/99 <br /> 01 /28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01/28/99 2233 HAZARDOUS WASTE CESQT FACILITY PERMIT $100 . 0 <br /> Total for this invoice : #110. 00 <br /> Payment DUE DATE 0 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> MR261M <br /> SAN JOACIUIN p�QL <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH ONISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Persits be added at the rate of lit 61 days i <br /> at the rate of illi of the Base Fee 31 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : ;110 .00 <br /> Please make Checks PAYABLE to: PHS/EHD <br />