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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016802 <br /> LMNOMMMOMMMMA <br /> Facility ID FA0009802 <br /> —111 <br /> Date Printed 1/30/2006 <br /> MOLDCRAFTERS RE : MOLDCRAFTERS <br /> 922 INDUSTRIAL WAY 922 INDUSTRIAL WAY <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : MARK BRYAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143866--Date of Invoice: 1/2712006 IIIIIIIIIIIIIIIIIIIIIIVIIIVIIVIIVIIVIIVII IIIIIII VIIIIIIIIIII <br /> 1/27/2006 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 85.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 159.00 <br /> Payment Due Date 3/112600,` <br /> TOTAL DUE this Billing Period $ 159.00 <br /> Pgyn'rEP,l7 <br /> RE6�/VCD <br /> FEB 16 2006 <br /> S �AQUIN.`-OU <br /> HATH <br /> 7- <br /> Please <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 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 />