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SAN JOAOUIN COUNTY PUBLIC�.ZTH SERVICES <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0003120 <br /> FA0003541 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> RE : BJJ COMPANY INC <br /> BJJ COMPANY INC 2431 E MARIPOSA RD <br /> PO BOX 30010 STOCKTON CA 95205 <br /> STOCKTON CA 95213 OWNER: BLINCOE,E F&BLINCOE,H&JR <br /> Health <br /> - Progr^�c D^.criprlo^. _ Hrs Employee Amount <br /> Invoice# IN0079377--Date of Invoice: 1/30/01 <br /> 1/30/1001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#004 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#003 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $751.00 <br /> Payment Due Date 200 <br /> TOTAL DUE this Billing Period j <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days.+.ft-r fho Due 02te Gu Deys afier the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> DECEIVED <br /> FEB-14 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> cpl' �^n,;". :. Rrb;,TH DIVISION <br /> 5255.rpt <br />