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SAN•JOAQUIN COUNTY Page 1 <br /> ,ENVIRONMENTAL HEALTH DEPARTMO <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 (� <br /> INVOICE `� Account ID AR0035752 <br /> copy � <br /> Facility ID 1=A0020057 <br /> Date Printed 5/30/2012 <br /> REYNOSO, MARIO RE : R&S TRANSMISSION <br /> R&S TRANSMISSION 24572 S MACARTHUR <br /> <br /> <br /> OWNER : REYNOSO, MARIO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0226301 .—Date of Invoice: 1130/2012 11111 IN 1111111111111111111 <br /> 1/27/2012 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 85.00 <br /> 1/2712012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> 4/15/2012 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 568.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 568.50 <br /> f <br /> PAST D U E <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <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 OES 1 HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties wi11 be added at the Rate of 10% � enalmn,s:� olktoc dePawW' ' .ate of 0'/0°ere, <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after thelrlvofce Date and eac30 Days thereafter <br />