Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' T <br /> 600 E MAIN STREET <br /> STO <br /> <br /> Account ID AR0016386 <br /> Facility ID FA0009386 <br /> Date Printed 1/28/2008 <br /> FIELD TOWER SYSTEMS (KS SOLUTI RE : FIELD TOWER SYSTEMS (KS SOLUTIONS) <br /> PO BOX 504 28135 E COPPEROPOLIS RD <br /> ELVERTA, CA 95626 FARMINGTON, CA 95230 <br /> OWNER : FIELD, DAVID <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171758---Date of Invoice: 1 25/2008 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW G N<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZIVAT FEE $ 270.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 507.00 <br /> Payment Due Date 3--7- "-) <br /> TOTAL DUE this Billing Period $ 507.00 <br /> PAYMENT <br /> RECEIVED <br /> F 163 19 2008 <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 DES/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 />