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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART[ IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9520 <br /> <br /> AccountlD AR0022749 <br /> LOOMMEWWOMONNA <br /> Facility ID FA00 33612 <br /> LMOOMMMONOMMEM <br /> Date Panted 1/24/2005 <br /> DIABLO AUTO BODY RE : DIABLO AUTO BODY <br /> 7710 MURRAY DR 7710 MURRAY DR <br /> STOCKTON, CA 95210-5307 STOCKTON, CA 95210-5307 <br /> OWNER : ROBERT V MORGAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128652--Date of Invoice: 1/24/2005 III II II I IIIVII VI IVIIIV I V I VI IVIIII I III I I II III 1111111111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 270.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 494.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 494.00 j� <br /> PAYMENT <br /> RECEIVED <br /> FEB 9 2005 <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 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 /> 5255,rpt <br />