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_ <br /> SAN JOAQUIN COUNTY PUBLIC''^AI "9 SERVICES Page 1 <br /> w <br /> ENVIRONMENTAL HEALTH DIV> ,JIB <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0003346 <br /> LMMMMMEMMMA <br /> FA0003767 <br /> Facility ID <br /> Date Printed 2/26/01 <br /> LMOMMOOMMMMEM <br /> RE : JOHN TAYLOR FERTILIZER <br /> JOHN TAYLOR FERTILIZER 1819 S ARGONAUT ST <br /> PO BOX 6098 STOCKTON CA 95206 <br /> STOCKTON CA 95206 OWNER: TAYLOR-WISEMAN DIVISION <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079443—Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#004 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $751.00 <br /> Payment Due Date 00 <br /> TOTAL DUE this Billing Period 751.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYME <br /> Penalties will e added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEI VED <br /> FEB 2 6 2001 <br /> s4pj <br /> 5255.rpt <br />