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SAN JOA01'!N COUNTY <br /> ENVIRONMENTAL HEALTH DEPART 4T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0018160 <br /> Facility ID FA0011160 <br /> Date Printed F 2/5/2004 <br /> LMMEMMOMMMMMEM <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 /> •I Program Description Amount <br /> Invoice# IN0116464---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 390.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 614.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 614.00 <br /> PAYMENT <br /> 9ECEIVED <br /> MAR 2 2 2004 <br /> t SAENOCOUNTM <br /> RONM ENTAL <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 Dale 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.gn <br />