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SAN JOAQUIN COUNTY <br /> ENVIRONRAENTAL HEALTH DEPARTMEP Page 1 <br /> 304-E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 55202 <br /> Phone: (209) 468-3420 <br /> INVOICE AmountlD AR0017948 <br /> Facility ID FA0010948 <br /> Date Printed 1/30/2006 <br /> FRONTIER PERFORMANCE LUBRICANT RE : FRONTIER PERFORMANCE LUBRICANTS <br /> <br /> 816 BLACK DIAMOND WAY A <br /> LODI, CA 95249-0720 <br /> OWNER : FRONTIER PERFORMANCE LUBRICANT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144012--Date of Invoice : 1/27/2006 IIIIIIIIII III VIII VIII VIVA VIII VIII VIII VIII VIII IIII IIIIII VIIIIIIIIIII <br /> 1/27/2006 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 375.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 449.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 449.00 <br /> F�gYA/'E:N -. <br /> ��c��vcc <br /> "AR (' 3 2Uut, <br /> � - --`; N41(iICOUNTY <br /> HEALTH DE ARTMENT. <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 /> 5294.rpt <br />