Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRC,*MENTAL HEALTH DEPARTM� • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0005769 <br /> FEB 01 2006 <br /> Facility ID FA0005307 <br /> Date Pnnted 1/30/2006 <br /> Imummommmoommms <br /> HOLZ RUBBER CO RE : HOLZ RUBBER CO <br /> PO BOX 241002 1129 S SACRAMENTO ST <br /> LODI, CA 95241-9502 LODI, CA 95240 <br /> OWNER : HOLZ RUBBER CO INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142587--Date of Invoice: 1/27/2006 11111111111111111111111111111IN111111111111111IN <br /> 1/27/2006 2220 SM HW GEN c5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 555.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 779.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 77g, <br /> RECEI`✓rD <br /> FEB 2 4 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMEIJTAL <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 GES 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 />