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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM`T Page 1 <br /> 600 E MAIN STREET �. <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017231 <br /> Facility ID FA0010231 <br /> Date Printed 2/4/2005 <br /> UNITED RENTALS NORTHWEST INC RE : US RENTALS <br /> US RENTALS 2081 E CHARTER WAY <br /> 2081 E CHARTER WAY STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : UNITED RENTALS NORTHWEST INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170458---Date of Invoice: 1/25/2008 IIIIIIIIIIVIIIVIIIVIIIIIIIIIVIVIII VIIVIII IIIIIIIIVIII IIIIIIII <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/2512008 2244 2008 HAZMAT FEE $ 420.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 657.00 <br /> Payment Due Date 2/2742008 <br /> TOTAL DUE this Billing Period $ 657.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 12008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> V` SA— <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 OES/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 /> 2'i4 rpt <br />