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Environmental Health - Public
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EHD Program Facility Records by Street Name
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AVE 15
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28806
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4200 – Liquid Waste Program
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PR0543484
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BILLING
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Entry Properties
Last modified
12/14/2021 10:00:44 AM
Creation date
11/25/2020 9:40:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
BILLING
RECORD_ID
PR0543484
PE
4244
FACILITY_ID
FA0024683
FACILITY_NAME
AMB AG ENTERPRISE
STREET_NUMBER
28806
STREET_NAME
AVE 15
STREET_TYPE
RD
City
MADERA
Zip
95638
CURRENT_STATUS
02
SITE_LOCATION
28806 AVE 15 RD
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\H\HOWARD\1838\PR0543484\BILLING PERMITS.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0046188 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FacilitylD FA0024683 <br /> Date Printed 9/28/2021 <br /> NAVARRO, MARIAH RE : AMB AG ENTERPRISE <br /> AMB AG ENTERPRISE 28806 AVE 15 RD <br /> 28806 AVE 15 RD MADERA, CA 95638 <br /> MADERA, CA 95638 <br /> OWNER : AMB RANCH MANAGEMENT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0331101 ---Date of Invoice: 10/29/2019 11111 11111 11111 11111 IN 111111 11111 1111 IN <br /> 10/29/2019 4244 PUMPER TRUCK PRO543484 $ 184.00 <br /> 1/15/2020 9994 PERMIT FEE PENALTY PRO543484 $ 184.00 <br /> Total for this Invoice $ 368.00 <br /> Payment Due Date 11/30/2019 <br /> PAST DUE! <br /> Delinquent charges over <br /> 90 days! <br /> Invoice# IN0341602---Date of Invoice: 10/29/2020 11111 11111�1111 11111 1111 IMI IIIII IN 1111 <br /> 10/29/2020 4244 PUMPER TRUCK PRO543484 $ 184.00 <br /> Total for this Invoice $ 184.00 <br /> Payment Due Date 11/30/2020 <br /> PAST DUE! <br /> Delinquent charges over <br /> 90 days! <br /> TOTAL DUE this Billing Period $ 552.00 <br /> Would you like Invoices electronically or need to update the email address for this account?Fill out the <br /> form below or Email us at EH-Invoices@sjgov.org with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'htti)s://www.siciov.orci/department/envhealth/online-payment' <br /> Penalties will be added to all Permit Fees For HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> S1 i 1 rpt End of report <br />
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