Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENT reye I <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 —' <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0 117236 <br /> `7y F0010236 A <br /> Facility ID <br /> Date Pdnted 5/27/2009 <br /> LAKEWOOD AUTO REPAIR RE : LAKEWOOD AUTO REPAIR <br /> 103 E ELM ST 103 E ELM ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : KEN PAIGE JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184356--Date of Invoice: 1129/2009 11111111HIT III IIIII IIIII 11111111111111111111111111111111111111111111111111 IN IN <br /> 1/29/2009 2220 SM HW GEN c5 TONSlYR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 300.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATI,' C AQ $ 24.00 <br /> 3/15/2009 9987 Haz Mat Prog $ 30.00 <br /> 4/15/2009 9994 PERMIT FEE PENALTYDe $ 213.00 <br /> � <br /> wilCl��7 -�r)rjva4r-jed to Total for this Invoice $ 780.00 <br /> ��.H <br /> t5aL4,.Ey.tr i? "N PAST DUE <br /> in ;)® days, <br /> Invoice# IN0189862--Date of Invoice : 5/26/2009 I1II1I11I11I1I111IIIIIIIII11I11I11111111111111111111 HE 11111111111111111111111 <br /> 5/26/2009 2245 ADDITION OF 1 CHEMICAL TO INVENTORY $ 15.00 <br /> Total for this Invoice $ 15.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period 1 $ 795.00 <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 /> 5254.rpt <br />