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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTME <br />304 E WEFER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone- (209) 468-3420 <br />INVOICE <br />BYRAN, MATTHEW <br />WALMART #1554 <br />702 SW 8TH ST <br />BENTONVILLE, AR 72716-0555 <br />Page 1 <br />Account ID AR0009046 <br />Facility ID FA0006687 <br />Date Printed 2/5/2004 <br />RE: WALMART #1554 <br />3702 E HAMMER LN <br />STOCKTON, CA 95212 <br />OWNER: WALMART, INC <br />Health <br />Date P oyfam Dasc^ption Amount <br />Invoice # IN0116215 — Date of Invoice : 2/4/2004 <br />2/4/2004 2220 SM HW GEN <5 TONS/YR S 200.00 <br />2/4/2004 2244 2004 HAZMAT FEE S 345.00 <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br />Total for this Invoice $ 569.00 <br />Payment Due Date 3/614 <br />TOTAL DUE this Billing Period $ 569.00 <br />PAYMENT <br />RECOVER <br />FEB 2 6 2CP4 <br />SAN JOAQUIN COUNT f <br />ENVIRON M ENTA - <br />HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />'enalties will be added to all Permit Fees For OES / HMMP Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10°% Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafte <br />5255 rpt <br />