Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONWRNTAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR .� <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00 7-429 <br /> LONIMMMMMMMMA <br /> Facility ID FA0090429 <br /> LMMMUMMOMMMMA <br /> Date Printed 4/26/2004 <br /> DOUBLE A TRUCK SVC RE : DOUBLE A TRUCK SVC <br /> PO BOX 7310 1675 W CHARTER WAY D <br /> STOCKTON, CA 95267 STOCKTON, CA 95206 <br /> OWNER : ANDREW SALMERON SR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116018--Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 270.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> 4/15/2004 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 721.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 721.00 <br /> Y4''t - <br /> PAST DUE ! z-1,7� <br /> WE WOULD APPRECIATE YOUR I / )t <br /> PAYMENT TODAY! /5 5Cp�/C' '�X / <br /> ENTIONTHE f <br /> EgLTIJ o---�—�*MIT-F©fes <br /> CURRENTYEAR <br /> ILL NOT BE ISSUED UNTIL <br /> PAST ARE PAI NFU / S <br /> L <br /> Cez v W <br /> 2ppQ <br /> / N0V\p1 ENZ P,\- <br /> SNCNO PP�tMEtSt <br /> Please rts ke 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 /> 5255.rpt <br />