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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART JT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTO <br /> <br /> AccountlD AR0017168 <br /> Facility ID FA0010168 <br /> Date Printed 1/24/2005 <br /> PBC AUTO RECYCLER INC RE : PSCC AUTO RECYCLER <br /> 2520 W BYRON RD 2520 W BYRON RD <br /> TRACY, CA 95377 TRACY, CA 95376 <br /> OWNER : DAVID PIRNIK <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128229—Date of Invoice: 1/24/2005 1111 111111 11111 1111 IN <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR S 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE S 130.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 2!23/20 <br /> TOTAL DUE this Billing Period $ 354.00 <br /> PAYMENT <br /> RECEIVED <br /> F E g I 12005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> 52i5.rpt <br />