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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV 'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017418 <br /> LUMMMINUMMMMEM <br /> Facility ID F FA0010 118 <br /> Date Printed 1/24/2005 <br /> JOE GONZALES TRUCKING RE : JOE GONZALES TRUCKING <br /> 7385 W RIPON RD 7385 W RIPON RD <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : JOE GONZALES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128307—Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIII VIIIVIIIIIIIIIIIII VIII VIIIIIIIIIIIII VIII IIIIIIIIII VIII IIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 285.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period <br /> EC VED <br /> FEB 2 % N05 <br /> SNS o ff DEPAR MEN <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/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 />