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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTII'- 'IT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016040 <br /> LMMMMMMMMMMA <br /> Facility ID FA0009040 <br /> LMMEOMMMMMMMA <br /> Date Printed 1/24/2005 <br /> BIG 0 TIRES #30 RE : BIG O TIRES #30 <br /> 302 N CHEROKEE LN 302 N CHEROKEE LN <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : DENNIS CUNNINGTON <br /> Date Health <br /> Program Description <br /> —__ _ Amount <br /> Invoice# IN0128910---Date of Invoice : 1/24/2005 IIiIIIIIIIVII VIIIVIIIVII VIIIVIII VIIIIIIIIIIIII IIIIIIIIIIVIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 100.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 2123/2005 <br /> TOTAL DUE this Billing Period $ 324.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 7 2005 <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 /> 9S mt <br />