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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI*T i _ Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD I AR0004153 <br /> Facility ID FA0004471 <br /> Date Printed 1/24/2005 <br /> TRACY OPERATORS RE : TRACY OPERATORS <br /> 14800 W SCHULTE RD 14800 W SCHULTE RD <br /> TRACY, CA 95377-8795 TRACY, CA 95377 <br /> OWNER : THERMAL ENERGY DEVELOPMENT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128163---Date of Invoice : 1124/2005 I IlI1111111111111IIIII 1111111111111 <br /> 1124/2005 <br /> 1/24/2005 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/24/2005 2220 SM HW GEN<5 TONSIYR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 465.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 959.00 <br /> Payment Due Date 2!2312005 <br /> I TOTAL DUE this Billing Periodl $ 459.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 112005 <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 /> 5255.rpt <br />