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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTNi Page 1 <br /> 304 E.WEBER AVE -3RD FLOG <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0014728 <br /> Facility ID FA0007952 <br /> Date Printed 2/5/2004 <br /> MARTINI AUTO RE : MARTINI AUTO <br /> 4032 N EL DORADO ST 4032 N EL DORADO ST <br /> STOCKTON, CA J5204 STOCKTON, CA 95204 <br /> OWNER : MARTINI'S AUTOMOTIVE <br /> Date Health <br /> Program _ Descriptio Amount <br /> Invoice# IN0116077---Date of Invoice : x2/4/2004 <br /> 2/4/2004 2220 SM HW GLN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 7004 HAZ AT FEE $ 100.00 <br /> 2/4/2004 2399 UNIFIED FROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ /324.00 <br /> PAYMEN <br /> RECEIVED <br /> FEB 2 3 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Ch cks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Per�nit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Bas@ FeePenalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Dat 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />