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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTOT t . <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0020323 <br /> LMMMONOMMMUMA <br /> Facility ID FA0012466 <br /> Date Printed 1/24/2005 <br /> LMMMONOMMMMOMM <br /> PREMIER FINISHING RE : PREMIER FINISHING <br /> 7910 S LONGE ST 7910 S LONGE <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : PREMIER FINISHING (LONGS) <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN01 28471 --Date of Invoice: 112412005 <br /> IIIIIIIIIII III VIIVIIVIIVII VIII VIIIVII VIIVIIIIIIIIII VIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 420.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 644.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 644.00 <br /> PAYMENT <br /> RECEIVED <br /> JAN 3 1 2005 <br /> SAN JOAQUIN COUNTy <br /> ENVIRONMENTAL <br /> HEALTH DFPARTMEll <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 OES I 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 /> ilii rpt <br />