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SAN JOAQUIN COUNTY <br /> ENVIROF}MENTAL HEALTH DEPARTM§T Page 1 <br /> 30$E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003549 <br /> Facility ID F FA0003941 <br /> Date Printed 2/27/2006 <br /> ORCHARD SUPPLY HARDWARE RE : ORCHARD SUPPLY HARDWARE#1570 <br /> <br /> TRACY, CA 95376 <br /> OWNER : ORCHARD SUPPLY HARDWARE CORP <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0143448---Date of Invoice: 1127/2006 IIIIIII IIIIIII VIIIIIIIIIII VIII VIII IIIIIIIIII IIIIIIIIII IIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 495.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 719.00 <br /> Payment Due Date 3/112 <br /> TOTAL DUE this Billing Period $ -719.00 <br /> I <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2006 <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 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 />