Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF —T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017966 <br /> Facility ID FA0010966 <br /> Date Printed 2/11/2008 <br /> CONCRETE INC RE : CONCRETE INC <br /> PO BOX 66001 851 E LODI AVE <br /> STOCKTON, CA 95206 LODI, CA 95240 <br /> OWNER : CONCRETE INC <br /> Date Health Amount <br /> Program Description <br /> r- — — <br /> Invoice# IN0170784---Date of Invoice: 1/25/2008 I IIIIIII IIIIII III IIIII IIIII VIII VIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII 11111 1111 IIII <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 435.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 672.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 672.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 1 2008 <br /> SAN JOAQUIN COUNTY <br /> 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 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 /> X254 rht <br />