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SAN JOAQUIN COUNTY r r ti <br /> ENVIRONMENTAL HEALTH DEPARTMEO Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR 0-180 22 <br /> LMONOMMMMMMIN <br /> Facility ID FA 001 00 2— <br /> Lmmmmmmommmma <br /> Date Printed 2/17/2006 <br /> PACIFIC COAST INDUSTRIES RE : PACIFIC COAST INDUSTRIES <br /> PO BOX 1081 4101 N HOLLY DR <br /> TRACY, CA 95378 TRACY, CA 95376 <br /> OWNER : PACIFIC COAST MS INDUSTRIES IN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143144---Date of Invoice: 112712006 IIIIIIIIIIIVIIIIIIIIIVIVIIVIIIVIIIVIIVIIIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HV1 GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 360.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ / 84.00 <br /> PAyN„j:z <br /> RE 666 Arr <br /> FEB 1 7 20po <br /> Sq NV, Uh\l COUNTY <br /> HEAL TND opRNME <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/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 />