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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9520 <br /> <br /> Account ID AR0005765 <br /> Facility ID FA0005303 <br /> Date Printed 2/27/2006 <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# IN0142510---Date of Invoice: 1/27/2006 11111 1111 111111 11111 IN IN <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 510.00 <br /> 1/27/2006 2248 RCRA GEN 25<50 TONS $ 1,792.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,326.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ --2,326.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2006 <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 /> 5254.rpt <br />