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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART --NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> INVOICE Account ID AR0017168 <br /> Facility ID FA0010168 <br /> Date Printed 1/30/2006 <br /> P&C AUTO RECYCLER RE : P&C AUTO RECYCLER <br /> PO BOX 190 2520 W BYRON RD <br /> BYRON, CA 94514-0190 TRACY, CA 95376 <br /> OWNER : DAVID PIRNIK <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142955---Date of Invoice: 1/27/2006 1 IIIIIII 111111 III VIII VIII IIIII IIIII IIIII IIIII VIII VIII VIII 11111111111 <br /> IN IN <br /> 1/27/2006 2220 SM HW GEN <5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 130.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 354.00 <br /> LE(ti� <br /> CP? 0 )006 <br /> SEN CAQU/IV COUlV1y <br /> � ALTy p pAR'�EIV7 <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 />