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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, <br /> <br /> AccountlD AR0017086 <br /> Facility ID FA0010086 <br /> Date Printed 2/5/2004 <br /> MOTOR GUARD CORP RE : MOTOR GUARD CORP <br /> 580 CARNEGIE ST 580 CARNEGIE ST <br /> MANTECA, CA 95337-6141 MANTECA, CA 95337 <br /> OWNER : MOTOR GUARD CORP <br /> Date <br /> Health <br /> - 6�^ Amount <br /> I Proyrann J�•��;!p ------- <br /> Invoice# IN0115890---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 285.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 3/6/2004 <br /> .E C E I V EDTOTAL DUE this Billing Period $ 509.00 <br /> FEB '. 0 -- <br /> VOTOR GUARD CORP. <br /> PAYMEI.I.� <br /> RECEIVE[ <br /> FEB 2 3 2004 <br /> SAN JOAQUIN COUN i Y <br /> ENVIRONMENTAL <br /> HE_ALTH 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 /> 5255.rpt <br />