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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BLACK DIAMOND
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1108
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2200 - Hazardous Waste Program
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PR0522356
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BILLING
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Entry Properties
Last modified
1/27/2021 10:17:58 PM
Creation date
10/31/2018 10:20:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0522356
PE
2221
FACILITY_ID
FA0012373
FACILITY_NAME
JASON NEWELL
STREET_NUMBER
1108
STREET_NAME
BLACK DIAMOND
STREET_TYPE
WAY
City
LODI
Zip
95240
APN
04918019
CURRENT_STATUS
02
SITE_LOCATION
1108 BLACK DIAMOND WAY #B
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BLACK DIAMOND\1108\PR0522356\BILLING\BILLING.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN 'IT 9 <br /> 304 E WEBER AVE -3RD FLOOR _ <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020227 <br /> Facility ID FA0012373 <br /> LUMMOMMENNOMM <br /> Date Printed 1/26/2007 <br /> LONWMNNNNNENNENEE <br /> MOBIL OIL 'N LUBE RE : MOBIL OIL 'N LUBE <br /> PO BOX 266 1108 BLACK DIAMOND WAY#B <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : MOBIL OIL 'N LUBE <br /> Date Health <br /> L Program Description Amount <br /> Invoice# IN0158037—Date of Invoice: 1/25/2007 111111111111111111111 HE 11111111111111111111111111111111111 IN 11111111111111 <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONS/YR $ 52.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoicel $ 176.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 176.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 n 2007 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 DES/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 thereafter <br /> 5294 rpt <br />
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