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I <br />SA!y.JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />VANDER ARK, MATT <br />ELECTROSTEEL USA <br /> <br /> <br />Page 1 <br />Account ID <br />AR0034619 <br />Facility ID <br />FA0019469 <br />Date Printed <br />10/31/2017 <br />RE: ELECTROSTEEL USA <br />3575 S EL DORADO ST <br />STOCKTON, CA 95206 <br />OWNER: ELECTROSTEEL USA <br />Date Health <br />Program Description Amount <br />Invoice # IN0300065 --- Date of Invoice : 9/26/2017 <br />9/26/2017 1921 HMBP-Regular-Primary Location <br />9/26/2017 1922 CERS Processing Fee <br />9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1111111111i111111111111�11111111ff1111111111111111111111111111111111111111111111 <br />$ <br />III <br />296.00 <br />$ <br />25.00 <br />$ <br />49.00 <br />Total for this Invoice $ 370.00 <br />Payment Due Date 10/29/2017 <br />TOTAL DUE this Billing Period $ 370.00 <br />4 r 10,E <br />", <br />'4^ <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />>254.rpt <br />