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Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICEAR0017772 <br /> Account ID <br /> Facility ID F FA0010772 <br /> Date Printed 3/31/2010 <br /> COPE MFG CO RE : COPE MFG CO <br /> PO BOX 2660 20400 N KENNEFICK RD <br /> LODI, CA 95241-2660 ACAMPO, CA 95220 <br /> OWNER : DAN MILLS & MIKE VALDEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0198909--Date of Invoice: 2/212010 11111111 IIIIII III/IIII IIT(IIII VIII VIII VIII(IIII/IIII VIII IIII IIIIII VIII IIII IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 285.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 211/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total for this Invoice $ 362.50 <br /> Payment Due Date 31412010 <br /> TOTAL DUE this Billing Period $ 362.50 <br /> DUE <br /> Delinquent charges <br /> will tie foswaj'ded t0 <br /> jr) 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.rp1 <br />