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JHIV JV�iI,(UIIV UUUN I T <br />ENVIRONMENTAL HEALTH DEPARTMF"T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />CALIF NATL GUARD / COMBINED SUPPLY <br />9800 GOETHE RD <br />SACRAMENTO, CA 95827-3563 <br />Page 1 <br />COPY <br />Account ID AR0009076 <br />Facility ID FA0006696 <br />Date Printed 1/26/2007 <br />RE: CALIF NATL GUARD/ COMBINED SUPPLY <br />8020 S AIRPORT WAY <br />STOCKTON, CA 95206 <br />OWNER: CALIFORNIA ARMY NATIONAL GUARD <br />Date Health <br />Program Description Amount <br />Invoice # IN0156331 --- Date of Invoice : 1/25/2007 <br />1/25/2007 2244 2007 HAZMAT FEE <br />1/25/2007 2247 RCRA GEN 5<25 TONS <br />1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />111111111111111111111111111111 <br />$ <br />IN 111111111111111 IN <br />420.00 <br />$ <br />1,615.00 <br />$ <br />24.00 <br />Total for this Invoice $ <br />2,059.00 <br />Payment Due Date <br />2/25/2007 <br />%2,059.00 <br />TOTAL DUE this Billing Period $ <br />PAYMENT <br />RECEIVED <br />FEB 12 2007 <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 thereafte <br />5254.rpt <br />