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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTi T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> untlD AR0016474 <br /> Facility ID F FA0009474 <br /> Date Pnnted 1/28/2008 <br /> WHITE SLOUGH WATER POLLUTION CNTRL RE : WHITE SLOUGH WATER POLLUTION CNTRL <br /> 1331 S HAM LN 12751 N THORNTON RD <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : CITY OF LODI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170707---Date of Invoice: 1/25/2008 IIIIIIIII VIIVIIIIIIIIIIIIVIIIIIIIIIIVI VIIIIIIIIIIIIIIII IIIIIIII <br /> 1/25/2008 2220 SM HW GEN <5 TONSNR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 285.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 522.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 522. <br /> PP G�,��i <br /> RE VIA <br /> V,SO 0j�G '1qN <br /> �40 <br /> Fg70 0, <br /> OK Payment <br /> RECEIVEDAlfaI 10 r3 .� �9 `f <br /> FEB 0 8 2008 WE ; <br /> �e�:(Nt .. <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 /> 5254.rpt <br />