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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTA ,T Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016060 <br /> Facility ID FA0009060 <br /> Date Printed 2/28/2014 <br /> GLEN CAMPER RE : EARTH SHELTER <br /> EARTH SHELTER 412 S SACRAMENTO ST <br /> <br /> <br /> OWNER : CAMPER, GLEN <br /> Health <br /> `C Program Description <br /> Amount <br /> Invoice# IN0247885---Date of Invoice: 1/3012014 111111 11111 E 11111�1H 1$1 11111 11111 11111 11111�1111 1111 11111 1EI 1111 IN <br /> 1/30/2014 2221 USED OIL ONLY-<5 TONS/YR 5 54.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 89.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 89.00 <br /> MAR 10 2014 <br /> ENvin0NMF;4I HEALTH <br /> PERMIT/SERVICES <br /> ou <br /> Ouh �-brt-% vl a.a.P, con{ e. rte. bol 3L9-1 `15a?� <br /> ) UQA-\,A <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 HMBP 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 /> 525-1.rpt <br />