Laserfiche WebLink
JMIY JVHl4U11Y l VUIN 1 T <br /> ENVIRONME'4TAL HEALTH DEPARTMr 'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID I AR0018160 <br /> LIMEMMMMMMMMA <br /> Facility ID FA001116 <br /> LIMMMMMMEMUMA <br /> Date Printed 1/30/2006 <br /> ADVANCED INDUSTRIAL COATINGS INC RE : ADVANCED INDUSTRIAL COATINGS INC <br /> 950 INDUSTRIAL DR 950 INDUSTRIAL DR <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ADVANCED INDUSTRIAL COATINGS, <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143454---Date of Invoice : 1/27/2006 11111111 HIM III IIIII IIIII IIIII IIIII IIIII INI IIIII 11111111111111111111111111111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 390.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 614.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period <br /> PAY <br /> RECE/VED <br /> FEB 2 7 2000 <br /> SAN JOAQUIN COL1 <br /> NMENTgNTy <br /> HEALTH p L <br /> EPARTMENT <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 /> 5214 rpt <br />