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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTP'^vT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, C <br /> <br /> ICE AccountlD �ARoo1s75 <br /> Facility ID FA0009757� <br /> Date Printed 1/24/2005 <br /> ww <br /> STOCKTON DODGE INC RE : STOCKTON DODGE INC <br /> PO BOX 8009 3333 AUTO CENTER CIR <br /> STOCKTON, CA 95209 STOCKTON, CA 95212 <br /> OWNER : ROBERT BYINGTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129295---Date of Invoice : 1/24/2005 I lllllll IIIIII III I'll/VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 390.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 614.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 614.00 <br /> PAY&4ENT <br /> RECEIVED <br /> FEB 4 2005 <br /> SAN JOAQUIN COU <br /> HEA <br /> ENVIRONMENTAL <br /> DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHID' — 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 />