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DANdUAUUIN CUUNIY <br /> ENVIRONMENTAL HEALTH DEPARTMF RECEIVE® Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 APR 2 0 2009 <br /> Phone: (209) 468-3420 <br /> SAN OFFICE OF EMERGENCY COYUER ES AR0025644 <br /> INVOICE / Account ID <br /> ` / / Facility to FA0015008 <br /> Date Printed 3/25/2009 <br /> lonommoomwAmmma <br /> BARROS AG WELDING AND TRAILER RE : BARROS' AG WELDING AND TRAILER REPA <br /> 1623 THIRD ST 26414 LONE TREE RD <br /> ESCALON, CA 95320 ESCALON, CA 95320 <br /> OWNER : JJGS CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0185719—•Date of Invoice: 1/29/2009 IIIIIIIIIIIII VIIIIIIIIIIIIIIVIIIIIillllVIIIVIIIIIIIIIIIIIII IIIIIIII <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 270.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 321.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 321.00 <br /> PAST <br /> Delinquent Charges <br /> will be forwarded to <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/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 />