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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM# • <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICEAccountlD AR0017 229 <br /> RECEIVEPaciliry ID I FA0010629 <br /> APR 2.3 2008 <br /> Date Printed 3/26/2008 <br /> OFFlCE OF EMERGENCY SERVICES <br /> ALL AMERICAN MUFFLER& PERFORM RE : ALL AMERICAN MUFFLER& <br /> <br /> 720 E HAMMER LN 4 <br /> STOCKTON, CA 95210 <br /> OWNER : ORTEGA, CHRIS <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0170018--Date of Invoice: 1125/2008 111111111111111111111111 IN <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 285.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total Torthis Invoice $ 337.50 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 337.50 <br /> DUE <br /> Delinquent chargeS <br /> ^mill �7e fc��r�rde to <br /> Er 30 tfays- <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 />