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SAN JOAQUIN COUNTY y,, Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT COPY <br /> 600 E MAIN STREET / <br /> STOCKTON, CA 95202 <br /> INVOICE Account MAR0006706 <br /> Facility ID FA0005863 <br /> Date Printed 4/30/2012 <br /> STOCKTON ROOFING CO INC RE : STOCKTON ROOFING COMPANY <br /> PO BOX 1169 2712 E FREMONT ST <br /> STOCKTON, CA 95201 STOCKTON, CA 95205 <br /> OWNER : STOCKTON ROOFING COMPANY <br /> Health Amount <br /> Date program Description <br /> Invoice# IN0224063---Date of Invoice: 1130/2012 IIIIIilllllllllllllllllllllllllll llllllllllllllllllVIIIVIIIINIIIIIIIIIIIIIIIIIII <br /> $ 255.00 <br /> 127/2012 2244 2012 HAZMAT FEE $ 24.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.50 <br /> 3/15/2012 9987 Haz Mal Program Penalty Fee <br /> Total for this Invoice $ 329.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 329.50 <br /> IST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTI#0, NS <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 OES 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 />