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SAN JOAQUIN COUNTY <br /> ENV RONMLI'TAL HEALTH DEPARTMF- Page 1 <br /> 304 E WEB&VE -3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> AccountlD AR0016757 <br /> Facility ID FA0009757�III <br /> Date Printed 2/5/2004 <br /> STOCKTON DODGE INC RE : STOCKTON DODGE INC <br /> P.O. BOX 8009 3333 AUTO CENTER CIR <br /> STOCKTON, CA 95209 STOCKTON, CA 95212 <br /> OWNER : ROBERT BYINGTON <br /> Date Health <br /> _Program Uescription _ Amount <br /> Invoice# IN0115781 ---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 $ 390.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 614.00 <br /> Payment Due Date 3/6/2 4 <br /> TOTAL DUE this Billing Period $ 614.00 <br /> PM <br /> REC VFr--' <br /> F EB 7 2�t04 <br /> SAN JOP.OUtCOUNIY <br /> VIRONMENTAL <br /> DEPARTMENT <br /> VAEp,LTH <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 />