Laserfiche WebLink
- - -- - - - Page l <br /> ENVIRONMENTAL HEALTH DEPARTMF T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE �'� `� Account ID AR0027643 <br /> ,r L RECEI N E® Facilityll) FA0015887 <br /> JUL 30 2009 Date Printed F 7/28/2009 <br /> LOMMOOMMMMOMMEM <br /> SAN JOAQUIN COUNTY <br /> DELL-TRAC CONSTRUCTION INC RE :'FbtUf-MGECDNSMWTION INC <br /> PO BOX 5159 3732 E FARMINGTON RD <br /> STOCKTON, CA 95205 STOCKTON, CA 95215 <br /> OWNER : DALE DELL'ARINGA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0189755---Date of Invoice : 5/26/2009 1111111111111111 1111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 170.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 17.00 <br /> Total for this Invoice $ 211.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 211.00 <br /> ci in <br /> ®elinq cent e1jjiaege-5 <br /> will be $Or � () <br /> �r 3 d'aYs- <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 OES/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 mi <br />