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SAN JOAQUIN COUNTY �..( Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOICE ropy Account ID <br /> AR0016979 <br /> COPY v FacilityID FA0009979 <br /> Date Printed 5/30/2012 <br /> MIRACLE MILE DRY CLEANERS RE : MIRACLE MILE DRY CLEANERS <br /> PO BOX 692163 82 W CASTLE ST <br /> STOCKTON, CA 95269-2163 STOCKTON, CA 95204 <br /> OWNER : WILTON FAMILY LLC <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0223457--Date of invoice: 1/30/2012 1111111111IIIEII►II11111 111111111111111111111111111111 <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 255.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3115/2012 9967 Haz Mat Program Penalty Fee $ 25.50 <br /> 4115/2012 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this lnvo(ce $ 755.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 755.50 <br /> PASS°' DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <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 aate of L0.0%_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 />