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SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART 'NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR �. <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account lD AR0024355 <br /> Facility ID FA0014331 <br /> LZENUMMENEEMMENIN <br /> Date Printed 1/24/2005 <br /> WHEEL WORKS RE : WHEEL WORKS <br /> 802 S FIRST ST 420 W LODI AVE <br /> SAN JOSE, CA 95110 LODI, CA 95240 <br /> OWNER : TIRES PLUS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129985—Date of Invoice : 1/24/2005 I II I I I I I V I VI I VI I V II VIII IIII I III I III VIII IIII IIIIII 11111 1111 IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/VR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 85.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 309.00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period $ 309.00 <br /> NT <br /> RECEIPMMVED <br /> FEB `L 2005 ' <br /> SAtENVIRONME4 AL <br /> FIEALTH 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 /> ;';;,rpt <br />