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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM" Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468 <br /> t ID AR0003913 <br /> Facility ID FA0004231 <br /> Date Printed 3/9/2004 <br /> JM MFG CO INC RE : J-M MANUFACTURING CO INC <br /> 1051 E SPERRY RD 1051 SPERRY RD <br /> STOCKTON, CA 95206-3993 STOCKTON, CA 95206 <br /> OWNER : J M MANUFACTURING CO INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115780---Date of Invoice : 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 450.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 674.00 <br /> Payment Due Date 3/6 <br /> �7 <br /> TOTAL DUE this Billing Period $ 674.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 9 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> REGEIV E D <br /> V ."ii & <br /> SAN JOAQUIN cr111v v <br /> ENVIHC'tJM._ ����. IT <br /> ViEALTIA GEPhK <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 />