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bAN JUAUUIN GUUN FY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM T <br /> 304 E WEBER AVE-3RD FLOOR * COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003195 <br /> Facility ID FA0003617 <br /> Date Printed 1/30/2006 <br /> RICK CISSELL, MGR RE : CAL WEST CONCRETE CUTTINGS INC <br /> CAL WEST CONCRETE CUTTINGS INC 1153 VANDERBILT CIR <br /> 1153 VANDERBILT CIR MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : BIRCH,WELDON <br /> Health Amount <br /> Date Program Description <br /> Invoice# IN0142708--•Date of invoice: 1/27/2006 IIIIIIIIIIIIII IIIIIIIIIIIII VIII VIIIIIIII VIII VIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII <br /> $ 200.00 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 300.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 24.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> Total for this Invoicel $ 524.00 <br /> Payment Due Date 31116 <br /> TOTAL DUE this Billing Period $ 524.0 <br /> R CE VED <br /> FEB 21 2000 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVIC=FE <br /> Penalties will be added to all Permit Fees For DES I HMMP Fees Penalties will be added at the Rate of 100°/of the Base Fee Penalties will be added at the Rate of 10°/30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date an <br /> 5254.rpt <br />