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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> AccountlD FAR0017168 <br /> Facility ID FA0010168 <br /> Date Printed 2/5/2004 <br /> P&C AUTO RECYCLER INC RE : P&C 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# IN0115933---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 $ 130.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 354.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period li $ 354.00` <br /> pAYMENT <br /> DECEIVE® <br /> F Eg 19 2004 <br /> SAN IOAQUIN COUNTY <br /> F ttlENTAL <br /> AT <br /> HEALTH DEPARTME <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 />