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omjv jUAWUrn! I UU'V 1 r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 500 E MAIN STREET <br /> STOCKTON, CA 95202 .. <br /> Phone: (209)468-3420 COPY <br /> INVOICE 1 g g Account ID AR0004690 <br /> Facility ID FA0002456 <br /> Date Printed 3/31/2010 <br /> GREG RISSO RE : GARLIC BROTHERS <br /> GARLIC BROTHERS 6629 EMBARCADERO DR <br /> 6629 EMBARCADERO DR STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : RISSO, GREG <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0200960---Date of Invoice: 2/2/2010 III III III VIII VIII VIII VIII VIII VIII VIII VIII VIII III VIII VIIIIIII IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 255.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/2012010 9987 Haz Mal Program Penalty Fee $ 25.50 <br /> Tota'for this Invoice $ 329.50 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 329.50 <br /> 95oo F <br /> Delinquent charges <br /> will be foRrvarded to <br /> in 30 days. <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 CES 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 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />