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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00286 88 <br /> Facility ID F F 0001V6340 <br /> Date Printed 12/29/2005 <br /> PACIFIC STORAGE CO RE : PACIFIC STORAGE CO <br /> PO BOX 334 607 B N CARLTON AVE <br /> STOCKTON, CA 95201 STOCKTON, CA 95203 <br /> OWNER : PACIFIC STORAGE COMPANY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0138737---Date of Invoice: 10/6/2005 IIIIII IIIIII III VIII V I VIII V I VI IL IIII IIII V I III II <br /> 10/6/2005 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 10/6/2005 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 12/15/2005 9994 PERMIT FEE PENALTY $ 50.00 <br /> 12/15/2005 9997 CORRECTION TO A CHARGE ($ 50.00) <br /> Total for this Invoice $ 74.00 <br /> Payment Due Date 11/5I2�*05 <br /> TOTAL DUE this Billing Period $ 74.00 <br /> PAY i4; i'II <br /> RECEIV'D <br /> DEC 2 3 2005 <br /> SAN 3O7tOUIN COUNTY <br /> aNVIRONMENTAL <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 1 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 /> 24 rpt <br />