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JHIV JVMWUIIV t VU1V I T <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95 <br /> <br /> INVOICE Account ID AR0016878 <br /> Facility ID FA0009878 <br /> Date Printed 1/26/2007 <br /> AG INDUSTRIAL MFG INC RE : AG INDUSTRIAL MFG INC <br /> PO BOX 53 110 S BECKMAN RD <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : AG INDUSTRIAL MFG INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157584--Date of Invoice: 1/25/2007 10000000 IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONS/YR $ 52.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 360.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 436.00 <br /> Payment Due Date 2/25/20,0,7 <br /> TOTAL DUE this Billing Period $ 436.00 <br /> PAYMENT <br /> RECEIVED <br /> SEB 2 3 20c3 <br /> SAN JO`.QUIP\COUNTY <br /> ENVIRONMENTAL <br /> 14EALTH 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 />