Laserfiche WebLink
S,�N JOAQUIN COUNTY <br /> ENvfRONMENTAL HEALTH DEPARTT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR000 7769 <br /> Facility ID F FA0005307 <br /> Date Panted 2/27/2003 <br /> HOLZ RUBBER CO INC RE : HOLZ RUBBER CO <br /> P.O. BOX 241002 1129 S SACRAMENTO ST <br /> LODI, CA 95241-9502 LODI, CA 95240 <br /> OWNER : DRYBURGH,JIM <br /> Date Health <br /> Program Description I Amount <br /> Invoice# IN0102955—Date of Invoice: 2119/2003 , 0 z_c l'� -ufm'(—t - 0.0-11J✓` ,�Q9- `A_�r-�RJ��_ <br /> 31U 03 Hrs Employee <br /> 1/3/2003 2950 315-REPORT REVIEW 1.00 KNOLL $ 89 0 <br /> 1/9/2003 2950 310-FIELD CONSULT �, 1.00 KNOLL $ .00 <br /> 1/24/2003 2960 315-REPORT REVIEW 1.00 KNOLL $ 9.00 <br /> 1/27/2003 2960 310-FIELD CONSULT 1.50 KNOLL $ 33.50 <br /> 1/29/2003 2960 310-FIELD CONSULT .�(I,�(, �' 0.50 KNOLL $ 44.50 <br /> 'V,"A�•�ft?��a_ tLa (e11 O Total for this Invoice $ 4551.60 <br /> Payment Due Date 129/2003 <br /> Invoice# IN0103263—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2231 HAZARDOUS WASTE PBR FACILITY $ 717.0 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 600.0 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this lnvolce $ 1,534.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 1 .50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 14 2003 <br /> PAN JAQUIN COUNTY <br /> UBLIO HEALTH EMACES <br /> ENVIRONMENTAL HEAUH ONISION <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 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 after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />