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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMF"— Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 952 <br /> <br /> Account ID AR0016373 <br /> Facility ID FA0009373 <br /> Date Printed 3/4/2004 <br /> CARNEGIE SVRA RE : CARNEGIE SVRA <br /> 13300 WHITE ROCK 18600 CORRAL HOLLOW RD <br /> RANCHO CORDOVA, CA 95742 TRACY, CA 95377 <br /> OWNER : STATE OF CALIFORNIA <br /> Date Health <br /> Program Descriptic n Amount <br /> Invoice# IN0115636---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 $ 360.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> SEC 1�F.CI <br /> M� 4: 200 <br /> SAN 30AQUIN COON,Y <br /> ENVI?�ONMENTAL <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 Fes 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 /> 52».ipt <br />