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S J DEN Page , <br /> INVOICE Account ID AR0017422 <br /> <br /> <br /> 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# IN011649n---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 2/4/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 435.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 779.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 779.00 <br /> PAYMENT <br /> RECEIVED <br /> Ft 2 7 2004 <br /> 3AN JOAQUIN COUNTY <br /> ENVIRONMNT <br /> HEALTH AL AL <br /> MEM}' <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 DES!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 Dale 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />