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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART NT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID 1 AR0016775 <br /> Facility ID FA0009775 <br /> Date Printed 2/10/2005 <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# IN0128089---Date of Invoice: 1124/2005 111111HIT III IIIII 1111111111111111111111111111111111111111111111111111111111 IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total forth is l nvoi ce $ 584.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 0 2005 <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 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 /> -= rpt <br />