COMPLIANCE INFO_2005-2008 - Laserfiche WebLink

Home Browse Search

OIVISION OF WEIGHTS AND MEASURE 1868 EAST HAZELTON AVE. P.O. BOX 1809 STOCKTON CA 95201 Telephone: (209) 468-3331 Fax: (209) 468-3330 SCOTT HUDSON SEALER VICKI HELMAR ASST. SEALER TONY LAVIERI DEPUTY SEALER NOTICE FOR REGISTRATION OF COMMERCIAL WEIGHING AND MEASURING DEVICES ATTN: HUYENTHANH THI PHAN TRACY BP SERVICE CENTER 2375 N`'TRACY BLVD TRACY, CA 95376 LOCATION: TRACY BP SERVICE CENTER 2375 N TRACY BLVD TRACY, CA 95376 Your annual commercial weighing and measuring device registration for 2006 is due by January 1. Our records indicate that you have the following device(s) at the above location: (See reverse side for category descriptions and fee schedule.) DESCRIPTION QTY FEE FOR EACH TOTAL FEE Business Location 1 $60.00 $60.00 Device Category H 24 $12.00 $288.00 TOTAL FEE ALL DEVICES: $348.00 Scales of less than 250 lb capacity (i.e. Farmers' Market or Flea Market) may be tested at the Weights and Measures office between January 1 and February 28. The fee is $10 per scale. The maximum number of scales allowed under this exception is three (3) per owner/user, per year. The device registration may be paid at the time they are brought in for testing. H the status of your commercial weighing/measuring device(s) has changed, please indicate by checking the appropriate box below. Sign and return the white copy. I am not using my commercial device(s) this year. I no longer have the above commercial device(s). The business listed above is permanently closed. The business location listed above was sold on: To: If you are selling at a Farmers' Market or Flea Market and your scale(s) are sealed and registered with another county, please provide us with a copy of your Certificate of Device Registration, to avoid registering in San Joaquin County. Comments ➢ MAKE ANY NECESSARY CORRECTIONS ABOVE TO YOUR NAME AND ADDRESS. ➢ MAKE ANY NECESSARY DEVICE CATEGORY OR QUANTITY CHANGES. MAKE CHECK PAYABLE TO: SEALER OF WEIGHTS & MEASURES. SIGN AND RETURN WHITE COPY WITH PAYMENT. APPLICATIONS POSTMARKED AFTER MARCH 1 WILL BE ASSESSED A DELINQUENT FEE. THIS FEE IS EQUAL TO HALF OF THE ANNUAL REGISTRATION FEE, NOT TO EXCEED $100. FAILURE TO RESPOND MAY RESULT IN COLLECTION PROCEEDINGS. I hereby certify that I an b owneror authorized representative of thelfirm and that all stat X SIGMA F APPLICANT /—��t DATE PRINT NAME: � � lri / 1 / / 7 -tilt VV G� - PHONE:' IA 2 f eT FAX: b ements are true to the best of my knowled, Office Use Only Date Amount Check # Receipt # Received by: RETURN WHITE COPY TO WEIGHTS AND MEASURES ----- YELLOW COPY FOR YOUR RECORDS ge.