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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, <br /> <br /> Account ID AR0006259 <br /> Facility ID FA0005626 <br /> Date Printed 2/5/2004 <br /> SANBORN CHEVROLET INC RE : SANBORN CHEVROLET INC <br /> PO BOX 1057 1210 S CHEROKEE LN <br /> LODI, CA 95241-1057 LODI, CA 95241 <br /> OWNER : SANBORN CHEVROLET INC <br /> Da. Health <br /> Nai 3r <br /> rogram DtJlAmount <br /> Invoice# IN0115436---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2227 GEN 5<25 TONS PER%IIT $ 1,568.00 <br /> 2/4/2004 2244 2004 H MAT FEE $ 345.00 <br /> 2/4/2004 2399 UNIFIED PROGRAP.1 FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 1,937.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ ,937.00 <br /> PAYMENT <br /> RECEIVE® <br /> FEB 18 4004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL. <br /> HE. LTH 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 /> 5255.r-pt <br />