Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMPNT Page 1 <br /> 600 E MAIN STREET <br /> PTO e: ON,(209 46 95202 COPT <br /> Phone: (209)468-3420 COPY <br /> INVOICE � 1� Amount ID AR0035535 <br /> Facility ID FA0019956 <br /> R '\ Date Printed 4/28/2011 <br /> SILVESTRES CONST MECH CO RE : SILVESTRES CONST MECH CO <br /> PO BOX 2507 6030 E KETTLEMAN LN <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER: SILVESTRE HERNANDEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0213844---Date of Invoice: 1/31/2011 I Illllll IIIIII Ill hill illi lull loll lull lull lull illl lilll IIII IIIIII Illi)I'll IIII <br /> 1/28/2011 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 360.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 36.00 <br /> Total for thls Invoice $ 715.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 715.00 <br /> i ���E <br /> Delinquent Charges <br /> will be fonpfarded to <br /> 01(11.-L 1,0Pr i <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 DES 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 />