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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF- Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> INVOICE AccountlD AR0016632 <br /> Facility ID FA0009632 <br /> Date Printed 1/26/2007 y <br /> O-G PACKING CO RE : O-G PACKING CO <br /> 2097 BEYER LN 2097 BEYER LN <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : O-G PACKING <br /> Date Health <br /> Program Description _ _ Amount <br /> Invoice# IN0156638---Date of Invoice: 1/25/2007 11111111111$E 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/25/2007 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 435.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this Invoice $ 935.00 <br /> Payment Due Date 2/2 <br /> TOTAL DUE this Billing Period $ I 935.00 <br /> 1 <br /> PAY IVlEN 1 <br /> HECE!VED <br /> FEB i 2 zoo! <br /> SAN JOAOUIN 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 /> 5254.rpt <br />