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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016060 <br /> Facility ID I FA0009060 <br /> Date Printed 1/26/2007 <br /> GLEN CAMPER RE : EARTH SHELTER <br /> EARTH SHELTER 412 S SACRAMENTO ST <br /> <br /> <br /> OWNER : CAMPER, GLEN <br /> Date Health <br /> Program Description Amount <br /> I <br /> Invoice# IN0156405---Date of Invoice: 1/25/2007 I(IIIIII IIIIII III VIII IIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONS/YR $ 52.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 76.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 76.00 <br /> �AYIti'l�i�-f <br /> , t-- D <br /> FEB 5 20o1 <br /> SAN JOAOUIN COUPlTy <br /> ENVIRONM`NTAL <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/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 /> 5254.rpt <br />