Laserfiche WebLink
iAN JOAQUIN COUNTY Page t <br /> iNVIRONMENTAL HEALTH DEPARTME._ <br /> i00 E MAIN STREET v <br /> 3TOCKTON, CA 95202 <br /> >hona: (209(468-3420 REC,EI V�/EEL" <br /> Ac.unt lD FA—ROOOI101A <br /> INVOICE JUL 13 2011 <br /> Fe.rly In FA0007103 <br /> _jSAN JOAOUIN COUNTY <br /> )FF(CE OF EMERGENCY SERVICES Date Pr n d 7I1312071 <br /> BLINN, DENNIS RE : ELKHORN COUNTRY CLUB <br /> ELKHORN COUNTRY CLUB 1050 ELKHORN DR <br /> 1050 ELKHORN DR STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : CAPLIN-MCGIFF ENTERPRISE INC <br /> Health <br /> Program Descriptiont�lAmotluppnHHt <br /> Date <br /> Invoicef/ IN0211589—Date of Invoice' 113112011 IIII��tilfd1111���hAlil^i�IIIIH!Ii AIItilfRll lilN�HiI��IYIIItl111N <br /> 1282011 2220 SM MN GEN<5 TONSIYR S 213.00 <br /> 12812011 2244 2011 HAZMAT FEE S 315.00 <br /> 128/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 1/2 81 2 011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE S 25.00 <br /> 9)20/2011 9987 Haz Mat Program Penalty Fee S 31.50 <br /> 4115/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> Taal fortMs Involoe 5 821.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Periodi $ 821.50 <br /> Please make Checks PAYABLE to: THD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Panaitle5 wm na added to all Permit Fees For OES!HMMP Fees For at I SERVICE FEES <br /> at the Rate or 1 DOT,of the Base Fee Penalties will be added at the Rafe of 10y. Perlakiaa will be added at the Rate of 10°b <br /> JO Days altar the Due 1) 45 Days after the Invoice Date 60 Days after the invoice Date and each 30 0 Y thereafter <br /> 5254 m <br />