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SAN JOAQUIN COUNTY Page1 <br /> ENVIRONMENTAL HEALTH DEPARTM'-'T <br /> 600 E MAIN STREET ../ <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE UO Amount ID AR0034306 <br /> Facility ID FA0019292 <br /> Date Printed 4/28/2011 <br /> FERMIN ALUSTIZA RE : FERMIN ALUSTIZA <br /> 8250 SEGARINI CT 820 CHANNEL ST <br /> STOCKTON, CA 95209 STOCKTON, CA 95202 <br /> OWNER : FERMIN ALUSTIZA <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0213665---Date of Invoice: 1/31/2011 IIIIIIIIIIIiIi VIIIILIVIIIVIIIVIIIIIIIIIIIVIIIIIIIIII IIIIIIIIIIIIII/III <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 270.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for thislnvoice $ 346.00 <br /> Payment Due Date 3/212011 <br /> TOTAL DUE this Billing Period $ 346.00 <br /> Delinquent Charges <br /> will be forwarded to <br /> (0 -a��: Ipd E(,.y_m1 +oc9p <br /> in 30 days. <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> ratnalties will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEES <br /> 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 />