Laserfiche WebLink
..,,.... . ...,., . I Pat <br /> ENVIRONMENTAL HEALTH DEPARTM- <br /> 304 E WEBER AVE -3RD FL <br /> <br /> <br /> INVOICE Account ID I AR0017422 <br /> Facility ID I F FA0010422 <br /> Date Printed F 1/26/2007 <br /> FARMINGTON FRESH SALES LLC RE : FARMINGTON FRESH SALES LLC <br /> 7735 S HWY 99 W FRONTAGE RD 7735 S HWY 99 W FRONTAGE RD <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : FARMINGTON FRESH LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 67311 --Date of Invoice: 1125/2007 III III111111IIII II VIIIVIIIVIIIVIIIVIIIVIII IIIII'II 11111111111111111111 <br /> 1/25/2007 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONS/YR $ 52.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 570.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for[his Invoice $ 916.00 <br /> Payment Due Date 2/25/2007 <br /> 1 <br /> TOTAL DUE this Billing Period $ j 616.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 4 200 <br /> SAN JOAOUIN COU14TY <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 I 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 />