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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95 <br /> <br /> tlD AR0016268 <br /> Facility ID FA000926� <br /> Date Printed 8/18/2004 <br /> CHEROKEE FREIGHT LINES RE : CHEROKEE FREIGHT LINES <br /> 5463 E CHEROKEE RD 5463 E CHEROKEE RD <br /> STOCKTON, CA 95215-1100 STOCKTON, CA 95215-1120 <br /> OWNER : GARY SCANNAVINO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115593---Date of invoice: 2/4/2004 I IIIIIII IIIIIIIII VIII VIII VIII IIIIIIIIII IIIIIIIIIIIIIII VIII IIIIIIIII IIIIII VIII IIII IIII <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 480.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 2/24/2004 9999 PAYMENT ($ 704.00) <br /> 7/15/2004 9997 CORRECTION TO A CHARGE ($ 200.00) <br /> 7/21/2004 2227 GEN 5<25 TONS PERMIT $ 1,568.00 <br /> Total for this Invoice $ 1,368.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ j 1,368.00 <br /> PAY'MEN_i <br /> RECEIVED <br /> AUG 18 2004 <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 /> 5255.rpt <br />