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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF"'T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> t ID AR0016997 <br /> Facility ID FA0009997 <br /> Date Printed 1/28/2008 <br /> COUNTRY CLUB SERVICE RE : COUNTRY CLUB SERVICE <br /> 1403 W COUNTRY CLUB BLVD 1403 W COUNTRY CLUB BLVD <br /> STOCKTON, CA 95204 STOCKTON, CA 95204 <br /> OWNER : GRIFFEN, STEPHEN <br /> Date Health <br /> Program Descripti n Amount <br /> Invoice# IN0170384---Date of Invoice: 1/25/2008 1�IIIM 1111 111 11111 11111 11111 11111 111 11111 11111 11$11111 1111 111111 11111 1111 IN <br /> 1/25/2008 2220 SM HW C EN<5 TONS/YR S 213.00 <br /> 1/25/2008 2244 2008 HA2 MAT FEE $ 145.00 <br /> 1/25/2008 2399 UNIFIED DROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 382.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ IS82 0 <br /> PPCF vED <br /> RE <br /> F�� 13 20oa <br /> SAN JOAOUM COUNTY <br /> 00ARONMENTAL <br /> HEALTN DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> PenAM% , <br /> to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> a f the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> S2�4 rpt <br />