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05/06/2004 15: 57 4648138 ENVIRONMENTAL HEALTH PAGE 02 <br /> JAN JUAUUIN (:UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM ..f <br /> 304 E WEBER AVE •3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> ® �i t� �CGINVOICE Account l0 AR0026044 <br /> R&:k;E1 V ® Facility lD FA0015164 <br /> MAY - 6 2004 Data Printetl 5/6/20D4 <br /> SMiJwtuuavUUUNIY coop <br /> _MMOFEMERGENCY SERVICE <br /> RODEL CLEANING SPECIALISTS RE : RODEL CLEANING SPECIALISTS <br /> 90S SPRUCE AVE 612 LUCE ST ROUGH & READY IS <br /> SAN FRANCISCO, CA 94080 STOCKTON, CA 95203 <br /> OWNER : RODEL CLEANING SPECIALISTS <br /> Date Health - Amount <br /> Program Description <br /> Irrvolee S IN0117617---Date of Inn ice: 21412004 <br /> 2242004 2244 2004 HAZMAT FEE PLUS 5 YEARS BACK BILLING $ 510.00 <br /> 2142004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3212004 9987 Naz Mat Program Penalty Fee $ 51'00 <br /> 56/2004 2244 2004 HAZMAT FEE PLUS 3 YEARS BACK BILLING $ 34000 <br /> 5/62004 9987 Haz Mat Program Penalty Fee $ 34.00 <br /> 5/152004 9997 CORRECTION TO A CHARGE ($ 510.00) <br /> 5/15/2004 9997 CORRECTION TO A CHARGE ($ 51.00) <br /> Twat for this Invoice $ 398-00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period` $ 398.00 <br /> Please make Cheeks 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 <br /> For a0 ties will he!aadded <br /> ERVICE FEES <br /> he Rate of`10% <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rata of 10% 60 Days afterpenalthe Invoiceate and to ch 30 Days thereaker <br /> 30 Days akar the Due Date 45 Days after the Invoice Date <br /> 5255rpt <br />