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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr'IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account lD AR0026733 <br /> Facility ID FA0015491 <br /> Date Printed 7/19/2004 <br /> PROFLEET TRUCK LUBE RE : PROFLEET TRUCK LUBE <br /> 15453 N THORNTON RD 15619 N THORNTON RD <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : GILLIN, PAIGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0122484---Date of Invoice: 7/19/2004 1111$111M E 11111 11111 11111 11111 110 1U1 11111 11111 1111 111111 11111 1111�111 <br /> 7/19/2004 2221 USED OIL ONLY-<5 TONS/YR S 50.00 <br /> Total for this Invoice $ 50.00 <br /> Payment Due Date 8/18/2004 <br /> TOTAL DUE this Billing Period $ ;' 50.00 <br /> PAYMENT <br /> RECEIVED <br /> JUL 3 0 2004 <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 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 />