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SAN JOAQUIN COUNTY <br /> EVIRONMENTAL HEALTH DEPARTMPage 1 <br /> ff <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017456 <br /> Facility ID F FA0010456 <br /> LNOMMONNOWNWOMM <br /> Date Printed 1/30/2006 <br /> INMEEMMENEENEEME <br /> KINDER, STANLEY K RE : SIERRA CHEMICAL CO (STKN) <br /> SIERRA CHEMICAL CO (STKN) 1010 INDUSTRIAL DR <br /> PO BOX 50730 STOCKTON, CA 95206 <br /> SPARKS, NV 89435 <br /> OWNER : KINDER, STANLEY K <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143447---Date of Invoice: 1/27/2006 11111111111111111111 IN IIII <br /> 1/27/2006 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 690.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,184.00 <br /> Payment Due Date 31,112006 <br /> TOTAL DUE this Billing Period $ 1,184.00- <br /> PAY V.I- T <br /> RECEIVED <br /> FEB 2 7 2006 <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 OES I 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 />