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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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R
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ROSCOE
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201
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4200 – Liquid Waste Program
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PR0516533
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID (2)
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Entry Properties
Last modified
2/9/2022 2:58:10 PM
Creation date
2/9/2022 2:50:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0516533
PE
4244
FACILITY_ID
FA0000620
FACILITY_NAME
UNITED SITE SERVICES
STREET_NUMBER
201
STREET_NAME
ROSCOE
STREET_TYPE
RD
City
MODESTO
Zip
953571828
CURRENT_STATUS
01
SITE_LOCATION
201 ROSCOE RD
P_LOCATION
98
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENi'AL HEALTH DEPARTMENT Page 1 <br />1868 E HAZELTON AVENUE <br />'STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Account ID AR0000619 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID FA0000620 <br />Date Printed 12/2/2021 <br />wlca wu�mcanvzuzratic�ir�,� <br />KING, MIKE - RE: ABS A PORTABLES INC <br />A &-A PORTABLES fNe NI'� (Wt � j s ,uCs. 201 ROSCOE RD <br />201 ROSCOEC RD C�Ia�1 QUA MODESTO, CA 95357-1828 <br />MODESTO, CA 95357 C (� I 1 <br />J j <br />OWNER: KING, MIKE <br />I Date <br />Health <br />Program <br />Description <br />I <br />Amount <br />Invoice # IN0361736 --- Date of Invoice : 10126/2021 <br />IIIIIIIIIIIIIIIIIIIII)IIIII IIIIIIIIIIIIIIIIIIIIIIIII IIDII <br />1111111 IN <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />PR0542491 <br />$ <br />184.00 <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />PRO540666 <br />$ <br />184.00 <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />PR0420132 <br />$ <br />184.00 <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />PRO507142 <br />$ <br />184.00 <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />PR0507143 <br />$ <br />184.00 <br />10/26/2021 <br />4244 <br />PUMPER TRUCK <br />PRO518141 <br />$ <br />184.00 <br />10!26/2021 <br />4244 <br />PUMPER TRUCK <br />PR0526608 <br />$ <br />184.00 <br />10/26/2021 <br />4255 <br />CHEMICAL TOILETS <br />PR0420092 <br />$ <br />2,400.00 <br />Total for this Invoke <br />$ <br />3,688.00 <br />Payment Due Date <br />11/30/2021 <br />SECOND NOTICE <br />TOTAL DUE this Billing Period $ 3,688.00 <br />PAYMENT <br />RECEIVED <br />JAN 0 4 2022 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Would you like Invoices electronically or need to update the email address for this account? Fill out the <br />form below with the information with up to 2 email addresses: <br />Email 1 <br />Email 2 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at:'hatl�s;lf�vwvt.sov.e7rc/eie?,rlr�e�tlr.nui2e tlthfc�e7tire-p} rY,Er,t' <br />Penalties will be added to all Permit Fees For HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5154 mt End of rcoon <br />
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