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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE - 3RD FLOOR 40 <br /> S <br /> <br /> INVOICE AccountlD AR0016878 <br /> Facility ID FA0009878 <br /> Date Printed 1/24/2005 <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 /> Health <br /> Date Program Description Amount <br /> Invoice# IN0129330---Date of Invoice: 1/24/2005 I IIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII VIII IIIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2221 USED OIL ONLY-<5 TONS/YR ? 50.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 434.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period 434.00 <br /> PAYMEN-1 <br /> RECEIVED <br /> FEB 2 2 2005 <br /> SAN JOAQUIN 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 /> 51��rpt <br />