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JAN JUAUUIN GUUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMF"— Page 1 <br /> 3041- WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 68-3420 <br /> INVOICE FEB 01 2006 AccountlD AR0016632 <br /> By Facility ID FA0009632 <br /> Date Printed 1/30/2006 <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# IN0142782---Date of Invoice: 1/27/2006 11111111111111111 IN1 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/27/2006 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 435.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 929.00 <br /> Payment Due Date 06 <br /> TOTAL DUE this Billing Period $ - 929.00 <br /> s•:'AY[�i NIT <br /> t�ECE <br /> 1 0 Zoos <br /> SAN JOAOUIt4 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 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 /> 5254.rpt <br />