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ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 EAEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOI <br /> Facility IDFA0009635 <br /> Date Printed 1/24!2005 <br /> CORN PRODUCTS INTERNATIONAL INC RE : CORN PRODUCTS INTERNATIONAL INC <br /> PO BOX 6129 1021 INDUSTRIAL DR <br /> STOCKTON, CA 95206-0129 STOCKTON, CA 95206 <br /> OWNER : CORN PRODUCTS <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0129246---Date of invoice: 1/24/2005 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllillllllll�IIIDVIIIVIIIIIIIIIIIIIVIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 690.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 914.00 <br /> 2Z4 #nz. 6e Payment Due Date 2/23/2005 <br /> C..�'✓:S TOTAL DUE this Billing Period $ 914.00 <br /> RECEIVED � <br /> GL L RED <br /> JAN 2 6 2005 20Mrtj; , <br /> i PAYMENT <br /> RECEIVED 27- <br /> FEB <br /> FEB 2 3 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/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 /> » <br /> 52 .rpt <br />