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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP'- 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017154 <br /> Facility ID F FA001015 <br /> Date Printed 2/8/2005 <br /> GOLDEN STATE IRRIGATION SVCS RE : GOLDEN STATE IRRIGATION SVCS <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : VALMONT INDUSTRIES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128220--Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIIIIIIIIVIIVIIIVIIIVIIVIIVII VIII IIII 11111111111 IIII IIII <br /> 1/24/2005 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 315.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 389.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 389.00 <br /> ��oPDt)tN E�N- <br /> So N""O EPp2SM011 <br /> NVoNo <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 I 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 /> 5255.rpt <br />