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SAN JOAQ;JIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMr"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9520 <br /> <br /> count ID AR0016498 <br /> Facility ID FA0009498 <br /> Date Printed 2/27/2006 <br /> SUSD STAGG HIG SCHOOL RE : SUSD STAGG HIGH SCHOOL <br /> 55 S MADISON ST 1621 BROOKSIDE RD <br /> STOCKTON, CA 9 203 STOCKTON, CA 95207 <br /> OWNER : STOCKTON UNIFIED SCHOOL DIST <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0142732---Date of Invoice: /27/2006 11111 1111 111111 11111 111 IN <br /> 1/27/2006 2220 SM HW G N<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZ AT FEE $ 330.00 <br /> 1/27/2006 2399 UNIFIED P OGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 3/1 6 <br /> TOTAL DUE this Billing Period $ 554. <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 1 2006 <br /> SAN JOAQUIN CQUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PA ABLE 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 /> i2i4.rpt <br />