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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTI <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017376 <br /> Facility ID FA0010376 <br /> Date Printed Z5/2004 <br /> RANSOM PAINTING CO INC RE : RANSOM PAINTING CO INC <br /> P.O. BOX 1282 534 S ANTEROS AVE <br /> STOCKTON, CA 95201-1282 STOCKTON, CA 95205 <br /> OWNER : TOM S RANSOM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115999---Date of Invoice: 214/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 255.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 479.00 <br /> F E.B <br /> p0�1N GOV`TV <br /> `SE;''IS PP�{MFJ'� <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 />