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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMI <br />304E WESER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />TERRILL TRANSPORTATION INC <br />2459 MARIPOSA RD <br />STOCKTON, CA 95205 <br />Page 1 <br />Account ID <br />AR0017621 <br />Facility ID <br />FA0010621 <br />LMEEMMONNUMMEA <br />Date Printed <br />F 25/2004 <br />RE: TERRILL TRANSPORTATION <br />2459 MARIPOSA RD <br />STOCKTON, CA 95205 <br />OWNER: TERRILL, KEVIN S <br />Date Health <br />Program Descnption Amount <br />Invoice # IN0116065 —Date of Invoice : 2/4/2004 <br />2/4/2004 2220 SM HW GEN <5 TONS/YR <br />2/4/2004 2244 2004 HAZMAT FEE <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />PAYMENT <br />RECEIVED <br />MAR 5 2004 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />S 200.00 <br />S 315.00 <br />S 24.00 <br />Total for this Invoice $ 539.00 <br />Payment Due Date 3/6i� <br />TOTAL DUE this Billing Period $ 539.00 <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />'enalties 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 thereafte <br />255.rpt <br />