Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMFNT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 5q —PECEI V yE <br /> INVOICE , , !(° 7 q Account ID AR0037487 <br /> / t1 lil <br /> Facility ID FA0020868 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES Date Printed 8/24/2011 <br /> GOLDEN BAY FENCE PLUS IRON WOR RE : GOLDEN BAY FENCE PLUS IRONWORKS IN <br /> 4104S BST 4104SBST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : FLOYD CHAVEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0217278--Date ofInvoice : 5/25/2011 11p1p11111111p111pIIIN <br /> 5/25/2011 2244 2011 HAZMAT FEE $ 270.00 <br /> 5/25/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 5/25/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 7/15/2011 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total(or this Involce $ 346.00 <br /> Payment Due Date 6/25/2011 <br /> TOTAL DUE this Billing Period $ 346.00 <br /> PA 7r r;L; <br /> Gellrlquel/t charges <br /> will be forwarded to <br /> CO<LLECTOONS <br /> in 30 days. <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/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 Involce Data 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.mt <br />