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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0018051 <br /> Facility ID FA0011051 <br /> Date Printed 1/30/2014 <br /> BRETT NEW RE : AMG RESOURCES PACIFIC CORP <br /> AMG RESOURCES PACIFIC CORP 15332 S MCKINLEY AVE <br /> <br /> <br /> OWNER: AMG RESOURCES PACIFIC CORP <br /> lieaiil i t <br /> Date Program Description <br /> Amount <br /> invoice# IN0248628--Date of Invoice: 1130/2014 11111111 IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 315.00 <br /> 1/30/2014 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 404.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 404.00 <br /> �F�n6 <br /> '%U'0.4 F"Joq 1 ' ?41� <br /> fNy� QUrNC <br /> u <br /> TblE,h. <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 HMBP 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 thereafter <br /> 5254.rpt <br />