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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 vE� <br /> �i� <br /> � <br /> INVOICE �" AccountlD AR0016060 <br /> ,AN 312oo$ <br /> Facility ID FA0009060 <br /> Date Printed 1/28/2008 <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 /> Invoice# IN0170048---Date of Invoice: 1/25/2008 I IIIIIIIIIIII III IIIII IIIII VIII VIII VIII IIIII IIIII IIIII IIII IIIII VIII IIII IIII <br /> 1/25/2008 2221 USED OIL ONLY-<5 TONS/YR S 54.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 78.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 78.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 13 2008 <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/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 />