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Environmental Health - Public
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EHD Program Facility Records by Street Name
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11662
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4200 – Liquid Waste Program
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PR0420091
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BILLING
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Entry Properties
Last modified
12/4/2020 9:29:18 AM
Creation date
8/5/2020 10:03:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
BILLING
RECORD_ID
PR0420091
PE
4242
FACILITY_ID
FA0000277
FACILITY_NAME
IL VINETO
STREET_NUMBER
11662
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05925003
CURRENT_STATUS
02
SITE_LOCATION
11662 N HAM LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\H\HAM\11662\PR0420091\BILLING PERMITS.PDF
Tags
EHD - Public
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fi ...... _.....�.,... ..... ._. . l Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMr"T v' <br /> 400 E'MAIN STREET <br /> �+ STOCKTON, CA 95202 <br /> Phone: 1209)468-3420 <br />{ INVOICE ARo0oo276 <br /> Account <br /> Facility ID FA0000277 <br /> I� <br /> J� Date Printed 5/28/2008 <br /> PASSALACQUA, JOSEPH RE : :WEST LANE MOBILE HOME PARK <br /> ' WEST LANE MOBILE HOME PARK 11662 N HAM LN <br /> 1515 BLACK MOUNTAIN RD LODI, CA 95240 <br /> HILLSBOROUGH, CA 94010 <br /> E. <br /> OWNER . ;PASSALACQUA,JOSEPH <br /> Health <br /> Date Program Description <br /> Amount <br /> Invoice# IN0176006—'Date of invoice: 5/27/2008 __ _— - IIIIIIIIIII ��III�IIIfIIIIIIIlIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIiIIIfIIIIIIIi <br /> I VIII{II <br /> it 5/27/2008 4242 WASTE WATER TX PLANT $ 470.00 <br /> i 5/27/2008 4642 25-99 SERVICE CONNECTIONS(CWS)WITX $ 516.00 <br /> i <br /> Total for this Invoice <br /> l $ 986.00 , <br /> Payment Due Date 6/27/2008 <br />{ <br /> is <br /> TOTAL DUE this Billing'Periodl $ 986.0 <br /> PA-(Me <br /> ii <br /> JINN 5 2oU8 <br /> SAN JpAOIJIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> 1 . <br /> i <br /> I <br /> rx <br /> Please make Checks PAYABLE to: 'EHD' - I' Return a Copy of This STATEMENT with Your PAYMENT. <br /> Penalties will be added to all Permit Fees For OES 1 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 46 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 575d rnt <br />
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