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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART�T Page 1 <br /> 304 E WEBEP AVE - 3RD FLOOR ti <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0022739 <br /> Facility ID FA0013605 <br /> Date Printed F 1/24/2005 <br /> Immmmmmmmmmmmmma <br /> TRACY DODGE CHRYSLER JEEP RE : TRACY DODGE CHRYSLER JEEP <br /> 3460 W NAGLEE RD 3460 NAGLEE RD <br /> TRACY, CA 95304 TRACY, CA 95376 <br /> OWNER : TRACY MOTOR CO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 28550--Date of Invoice: 1124/2005 IIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIVI VIIVIIVIIIIIIIII VIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 315.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total forthis Invoice $ 539.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2005 <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 DES 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 /> 5255 rpt <br />