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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, C <br /> <br /> AccountlD AR0017975 <br /> Facility ID I FA0010975 III <br /> Date Printed 2/5/2004 <br /> KRAGEN AUTO PARTS#1482 RE : KRAGEN AUTO PARTS #1482 <br /> 1905 ASTON AV 309 W CHARTER WAY <br /> CARLSBAD, CA 92008 STOCKTON, CA 95206 <br /> OWNER : CSK AUTO INC <br /> Health <br /> Program Description <br /> _ Amount <br /> Invoice# IN0116125---Date of Invoice:' 2/4/2004 <br /> 2/4/2004 2220 SNI HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 H MAT FEE $ 270.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 494.00 <br /> Payment Due Date 3/6/2004 <br /> PAY ENT TOTAL DUE this Billing Period 494.00 <br /> RECE VED <br /> MAR 12004 <br /> SAN JOAQL IN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks AYABLE 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 />