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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0026733 <br /> s� <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 I III1111IIIII III VIII VIII VIII VIII 1111111111 VIII VIII1111111111 VIII1111IN <br /> 7/19/2004 2221 USED OIL ONLY-<5 TONS/YR <br /> $ 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 /> 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.T-pt <br /> 1 <br />