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LI\Yrll\VI\IYILI\1/IL IILr\L1, VLI � � .�,�,�• <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> INVOICE* <br /> Phone: (209)4683420 <br /> �� RECEIVEDCOPY <br /> ID IF AR0017429 <br /> 11 T' 1 <br /> nl <br /> J-:- 1 6 2,11 <br /> Facility 10 FA0010429 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES Date Printed 5/26/2011 <br /> Immoommmommoma <br /> DOUBLE A TRUCK SVC RE : DOUBLE A TRUCK SVC <br /> PO BOX 1402 1675 W CHARTER WAY D <br /> DISCOVERY BAY, CA 94505-7402 STOCKTON, CA 95206 <br /> OWNER : ANDREW SALMERON SR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0207605—Date of Invoice: 10/25/2010 1111111111111IIIVIIIIIIDVIIIVIIIVIIIVIIIVIIIVIIIIIII111111VIII11111111 <br /> His Employee <br /> 9/29/2010 2220 544-COMPLAINT INSP(actual time) 0.50 VON FLUE $ 61.00 <br /> 1/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 2/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 3/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> Total for Nis Invoice $ 79.30 <br /> PAST DUE <br /> Invoice# IN0209970---Date of Invoice: 12/2312010 11111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII IIII 111111 VIII IIII IIII <br /> Hrs Employee <br /> 11/15/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 VON FLUE $ 61.00 <br /> 3/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 4/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 5/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> Total for this Invoicel $ 79.30 <br /> PAST DUE <br /> Invoice If IN0211106-_Date ofInvoice: 1/31/2011 IIIIIIII111111IIIVIIIIIIIIIIIIIIlill11111VIIIVIIIVIIIVIIIIIII111111VIIIINIIII <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 285.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> ;1 t41 y F� <br /> � � ?� �4 Total for this Invoice $ 788.50 <br /> Delinque E1. Charges PAST DUE <br /> tPl:l` <br /> be. IQ-vvarders to <br /> •ri < � y .;R,nr'+ TOTAL DUE this Billing Period $ 947.10 <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 /> i254.rpi <br />