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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025028 <br /> Facility ID F FA0014721 <br /> Date Printed 2/27/2004 <br /> GASOLINE ALLEY RE : GASOLINE ALLEY <br /> <br /> LODI, CA 95240 <br /> OWNER : PRICE, TOM <br /> Da-e Health <br /> Program Description Amount <br /> Invoice# IN0117522—Date of Invoice: 2/412004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 85.00?GSD <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 2/6/2004 9991 Credit Adjustment ($ 8.50) <br /> Total for this Invoice $ 300.50 <br /> p Payment Due Date 316/2004 <br /> TOTAL DUE this Billing Period $ 300.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 17 2004 <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 /> \ 5255.rpt <br />