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SAN JO;')UIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP VT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017966 <br /> Facility ID FA0010966 <br /> Date Printed 2/27/2003 <br /> CONCRETE INC. (LODI AVENUE) RE : CONCRETE INC <br /> P.O. BOX 66001 851 E LODI AVE <br /> STOCKTON, CA 95206 LODI, CA 95240 <br /> OWNER : KNIFE RIVER COAL MINING <br /> Date Health <br /> Proqram Description Amount <br /> Invoice# IN0104156---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 450.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 17.50 <br /> Total for this Invoice $ 667.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 667.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 6 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALThI SERVICES <br /> FNVIRONMFNTP., HI:I T>i i`tt11,;C)N <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 all SERVICE FEES <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 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255 rpt <br />