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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF— <br /> 304 E WEBER AVE - 3RD FLOOR r./ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017791 <br /> Facility ID r FA0010791 <br /> LONEWMNNENMMEI <br /> Date Printed 2/5/2004 <br /> AUTO SPECIALTIES RE : AUTO SPECIALTIES <br /> 7918W 11TH ST 7918 W 11TH ST <br /> TRACY, CA 95304 TRACY, CA 95304-9303 <br /> OWNER : THOMPSON, JAMES E JR <br /> Date Health <br /> - — —_.Program Description Amount <br /> Invoice# IN0116094—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 $ 130.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period0"4-0 ) <br /> RENT <br /> ECE(VEU <br /> MAR 4 2004 <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 /> _�=apt <br />