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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPART' VT <br /> 304 E WEBER AVE -3RD FLOOR E7JAN2 <br /> ZOOSINVOICE Accunt IDAR0016632 <br /> Facility ID FA0009632 <br /> Date Panted 1/24/2005 Ll <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# IN0128787--Date of Invoice: 1/24/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZIMAT FEE $ 435.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 929.00 <br /> Payment Due Date 05 <br /> TOTAL DUE this Billing Period $ 929.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB -11 2005 <br /> SAN,IOAQUIN 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 /> ;,;;rpt <br />