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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 952 <br /> <br /> Account ID AR0005765 <br /> Facility ID FA0005303 <br /> Date Printed 2/17/2004 <br /> HOLT BROS OF CA RE : HOLT BROS OF CA <br /> PO BOX X 1521 W CHARTER WAY <br /> SACRAMENTO, CA 95813-1306 STOCKTON, CA 95206 <br /> OWNER : HOLT BROS OF CA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115466---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 495.00 <br /> 2/4/2004 2248 RCRA GEN 25<50 TONS $ 1,792.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 2,311.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period '$ 2,311.00` <br /> i <br /> PAY N/I IL R i <br /> RECEIVED <br /> FEB 13 04 <br /> SAN JOAQUIN COUl' f <br /> ENVIRONMEN TA I <br /> HEALTH DEPAH i —i.f <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 />