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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1220
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2200 - Hazardous Waste Program
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PR0514508
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BILLING
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Entry Properties
Last modified
12/6/2020 11:10:02 PM
Creation date
11/2/2018 8:26:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0514508
PE
2220
FACILITY_ID
FA0011053
FACILITY_NAME
CHAMPION
STREET_NUMBER
1220
STREET_NAME
VANDERBILT
STREET_TYPE
CIR
City
MANTECA
Zip
95336
APN
22119026
CURRENT_STATUS
02
SITE_LOCATION
1220 VANDERBILT CIR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VANDERBILT\1220\PR0514508\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/10/2016 10:06:11 PM
QuestysRecordID
3230717
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART)WdaPage 1 <br /> §04 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0018053 <br /> Facility ID FA0011053 <br /> LMMMENOMMMMA <br /> Date Printed F 2/25/2005 <br /> IMMMMEMMMEMOMA <br /> CHAMPION RE : CHAMPION <br /> 1301 N EUCLID AVE 1220 VANDERBILT CIR <br /> PRINCETON, IL 61356 MANTECA, CA 95336 <br /> OWNER : GARDNER DENVER INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0128436---Date of Invoice: 1/24/2005 1111111111111111111111111 IN 111111111111111 IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 315.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 2q 0 <br /> Total for this Invoice $ 539.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 539.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 8 2005 <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 /> 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.rpt <br />
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