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SAN JOAQUIN COUNTY Page 1 <br /> EI`,VIRONMENTAL HEALTH DEPARTMF"T r'CEIVED <br /> AI <br /> 600 E MN STREET <br /> STOCKTON, CA 95202 APR 2 0 2009 <br /> Phone: (209) 468-3420 <br /> SAN JOAQUIN COUNWcoount ID AR0016115 <br /> INVOICE OFFICE OF EMERGENCY SERVICES <br /> Facility ID FA0009115 <br /> Date Printed 3/25/2009 <br /> PRODUCTION CAR CARE PROD (WHSE RE : PRODUCTION CAR CARE PROD <br /> 1000 E CHANNEL ST 1015 E CHANNEL ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : BOLER, LEWYN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184909---Date of Invoice: 1/29/2009 I1111111111111III 111111111111111 IN <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 690.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 69.00 <br /> Total for this Invoice $ 783.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 783.00 <br /> fST DUE <br /> Delinquent charges <br /> Will be forvv Irded to <br /> 0 'MONS <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 Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />