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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART4 IT <br /> n C WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE RECEIVED FEB 1 200 AR0017966 <br /> AccountlD <br /> Facility ID FA0010966 <br /> Date Printed 2/5/2004 <br /> CONCRETE INC RE : CONCRETE INC <br /> PO BOX 66001 851 E LODI AVE <br /> STOCKTON, CA 95206 LODI, CA 95240 <br /> OWNER : KNIFE RIVER COAL MINING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116329—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE S 450.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 674.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 674.0% <br /> Amount U <br /> Dept/GL# - c) <br /> Approval <br /> ENTERLM FEB 1 3 2004 <br /> �EcM`EG <br /> FEB 2 6 2004 <br /> SAN JO <br /> ENVIRONMENT UN7Y <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/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 />