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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEr — Page 1 <br /> 304 E WEBER AVE -3RD FLOOR _ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016040 <br /> Facility ID FA0009040 <br /> Date Printed 2/5/2004 <br /> BIG O 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# IN0115492---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 $ 100.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 324.00 <br /> pp'WVN-T <br /> Fla 2 2004 <br /> gAN '/ <br /> .IOAQUIN COUNT <br /> ENVIRONMENTAL <br /> µETN DEPPAmEw <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 /> 5255.rpt <br />