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aHIV jvf WUF" � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 - COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account lD AR0017327 <br /> 1 <br /> 4 \� Facility 10 FA0010327 <br /> Date Printed 4(28/2011 <br /> PAC-WEST ACQUISITION COMPANY L RE : PAC-WEST ACQUISITION COMPANY LLC <br /> <br /> STOCKTON, CA 95204 <br /> OWNER : PAC-WEST ACQUISITION COMPANY L <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0211823---Date of invoice: 113112011 IIIIIIIIIIIIII'llI'IIIIIIIIIIIIVIIIVIIII�IIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIIIIII <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 this Invoice $ 346.00 <br /> Payment Due Date 31212011 <br /> TOTAL DUE this Billing Period $ 346.00 <br /> I T 0, t9 <br /> Delinquent charges <br /> will be forwarded to <br /> a.. . in 30 days, <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> r <br /> nalties 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 />