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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTr 'IT Page 1 <br /> r <br /> 600E MAIN STREET <br /> <br /> 3420 <br /> INVOICE Amount ID AR0017909 <br /> Facility ID FA0010909 <br /> Date Printed 1/28/2008 <br /> LUMMEMENOMMUMMI <br /> CRAIG VEVODA RE : HUMBOLT CREAMERY ASSN <br /> HUMBOLT CREAMERY ASSN 1270 SHAW RD <br /> 572 HWY 1 STOCKTON, CA 95215 <br /> FORTUNA, CA 95540 <br /> OWNER : HUMBOLT CREAMERY INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171418---Date of Invoice: 1125/2008 11111111111111111111 IN IN <br /> 1/25/2008 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 270.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this Invoice $ 348.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 34 0~ <br /> �JAYMENT <br /> RECEIVED <br /> MAR - 3 2008 <br /> SAN JOAQUIN COUNTY <br /> HEALTH OE ARTMENT <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/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.rpL <br />