Laserfiche WebLink
SAI 9QUIN COUNTY <br /> EN, JMENTAL HEALTH DEPARTMF Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016775 <br /> LMMEMMMOMENA <br /> Facility ID FFT0509775 <br /> Date Printed F 2/10/2006 <br /> CONCRETE INC RE : CONCRETE INC - STKN-STANISLAUS <br /> PO BOX 66001 749 S STANISLAUS ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : KNIFE RIVER COAL MINING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND142821 ---Date of Invoice : 1/27/2006 I III I I I I V I VI VIII VII V I II II I I I I IIII ( 11111 1111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE S 360.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> [ Total for this Invoice $ 584.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> D <br /> FEB 10 ?006 <br /> EPJtr/ '0 M <br /> PFRMlTjs R��ESL <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 DES/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 /> ,3,4 rpt <br />