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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTh. .T RECEIVEDPage 1 <br /> 600 E MAIN STREET r , ���� <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 �� bANJUAUUIN UUUN I <br /> � OFFiDE OF EMEROEP;OY SERVICE« <br /> INVOICE <br /> 1 O Account ID AR0018067 <br /> Facility ID F FA0011067 <br /> Date Printed 5/24/2007 <br /> FARIAS AUTO REPAIR RE : FARIAS AUTO REPAIR <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : FARIAS, JOSE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157338—Date of Invoice : 1/25/2007 VIII I IIIIIIII IIIIIIIII VIII VIIIIIIIIIIIIIIIIIIVIIILIIIIIIIIII�1111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 206.00 <br /> Total forthis Invoice $ 546.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 546.00 <br /> PAST D U E <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 Thl STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES I 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 ays after the Invoice Date and each 30 Days thereafter <br /> i <br /> 5254.rpt <br />