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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM— -T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 9520 <br /> <br /> 0017086 <br /> Facility ID FA0010086 <br /> Date Printed 2/12/2007 <br /> BARLEEN, DAVID G RE : MOTOR GUARD CORP <br /> MOTOR GUARD CORP 580 CARNEGIE ST <br /> 580 CARNEGIE ST MANTECA, CA 95337 <br /> MANTECA, CA 95337-6141 <br /> OWNER : MOTOR GUARD CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156767---Date of Invoice: 1/25/2007 I(IIIIII IIIIII III VIII VIII VIII VIII IIIII IIIII IIIII IIIIIIIIII IIII IIIIII IIIII 11111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 285.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 515.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 515.0p <br /> i <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 2 2007 <br /> SAN 3OAOUIN COUNT( <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 /> i254.rpt <br />