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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTI'll <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 /> Date Printed 1/30/2006 <br /> MOBIL OIL 'N LUBE RE : MOBIL OIL 'N LUBE <br /> PO BOX 266 1108 BLACK DIAMOND WAY <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : MOBIL OIL 'N LUBE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144228---Date of Invoice: 1/2712006 II'lllIIIIIIIIII VIIIVIII VIII VIIIVIII VIII VIII VIII VIII/IIIIIIIII 11111111 IN <br /> 1/27/2006 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 100.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 174.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ 174.00 <br /> FE 2 <br /> SAN .I 2006 <br /> HEALliO p,Ra / k <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 I 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 /> 5254 Pt <br />