Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTF&T l • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0016439 <br /> Facility ID FA0009439 <br /> Date Printed 2/8/2005 <br /> LEMOMMMOMMEEMMA <br /> COURTRIGHT, MICHAEL RE : AMERICAN TRANSIT MIX- FRENCH CAMP <br /> AMERICAN TRANSIT MIX- FRENCH CAMP 899 E ROTH RD <br /> 3407 W STUHR RD FRENCH CAMP, CA 95231 <br /> NEWMAN, CA 95360 <br /> OWNER : JERRY LARSEN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129120--Date of Invoice: 112412005 �111111111111111111111 IN 111111111111111111111111111111111111111111111111111111 IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 435.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total forthis Involcel $ 659.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 659.00 <br /> �Eg _ 8 2005 <br /> 04 CO\j <br /> SPpwokoNME M <br /> HATH pEPA� <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 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 /> 5255.rpL <br />