Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRQNMENTAL HEALTH DEPART Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD F—Ao2 <br /> lanommommmowom <br /> Facility ID FA0009802 <br /> Lommommommmoms <br /> Date Printed 3/26/2004 <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# IN0116911 ---Date of Invoice : 2/4/2004 <br /> 2/4/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 85.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> Total for this Invoicel $ 167.50 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 167.501 <br /> PAYMENT <br /> RECEIVED <br /> FAST DUE ! APR 13 2004 <br /> WE WOULD APPRECIATE YOUR SAN JOAQUIN COUNTY <br /> PAYMENT TODAY! 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 /> 5255.rpt <br />