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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEO Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD ARo016644 <br /> Facility ID FA0009644 <br /> Date Printed 2/21/2007 <br /> LMOOMMUMMEMMMO <br /> COX BROS TIRE SERVICE RE : COX BROS TIRE SERVICE <br /> 507E 11TH ST 507 E 11TH ST <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : BREITSTEIN, EARL <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0156643---Date of Invoice : 1/25/2007 IIIIIIIIIIIIIIIVIIIVIIVIIVIIVIIIVIIIVIIIVIIVIIIIIIIIIII VIIIIIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> To[al for this Invoice $ 330.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 330.00 <br /> PAYM�vED <br /> RECE <br /> FEB 2 ZVO <br /> SAN�oAQUIN come <br /> ENVIPQNM4 TEhtT <br /> IAEM.TH DEP. <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 /> 5254.rpt <br />