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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTA` HEALTH DEPARTjrT <br /> 304 E WE�t� AVE - 3RD FLOOR <br /> STOC"i,j CA 95202 <br /> phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017456 <br /> Facility ID FA0010456 <br /> UMMMOMMEMMMIN <br /> Date Printed 2/25/2005 <br /> SIERRA CHEMICAL CO (STKN) RE : SIERRA CHEMICAL CO (STKN) <br /> 1010 INDUSTRIAL DR 1010 INDUSTRIAL DR <br /> STOCKTON, CA, 95206 STOCKTON, CA 95206 <br /> OWNER : KINDER, STANLEY K <br /> Date Health Description <br /> Amount <br /> Program P <br /> Invoice# IN0128733--Date of Invoice: 1/24/2005 IIIIIIIIIIIIII III VIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII IIII VIII IIIIIIIIIIIII <br /> 1/24/2005 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00, $ 200.00 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 690.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 24.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice5;23120 <br /> 184. 0 <br /> Payment Due Date <br /> I r�.a- � I .,`,I TOTAL DUE this Billing Period $ 1,184.00 <br /> Nil <br /> PAYMENT <br /> RECEIVED <br /> MAR 1 6 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 /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100°/of the Base Fee 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 />