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06/07/2010 00:57 2094640138 ENVIRONMENTAL HEALTH PAGE 02/02 <br /> �...ti,r.......r............ . Nage t <br /> ENVIRONMENTAL HEALTH DEPART*IT • <br /> 600E MAIN STREETSTOCKCOPY <br /> Phone: 209ON, 46 95202 RECEIVED <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Ar nl 0ARD017028 <br /> JUN - 7 2010 <br /> Facility ID FA0010028 <br /> SAN JOAQUIN COUNN <br /> DAME OF EMERGENCY SERVICESDate Primed 21212010 <br /> <br /> <br /> <br /> <br /> OWNER: TRAILER RESOURCE <br /> Date Heelth <br /> Program De nn <br /> Amount <br /> Invoke>K IN0197S84—Daft of Invoice: 212/2010 II�IIII�IIIII�I�I�IINIdIINIIInIII���IIIIIpII1llllll <br /> 211/2010 2220 SM HW GEN c5 TONSNR S 213.00 <br /> 2l V2010 2242 2010 HAZMAT FEE S 300.00 <br /> ZW2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 211!2010 2832 AST FAC 10 K-U-100 K GAL CUMULATIVE $ 337.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE S 25.00 <br /> T"ferlha Invoke S 899.00 <br /> Payment Due Date 31412DIO <br /> TOTAL DUE this Billing Perlod S 9.00 <br /> PAYUIE`i 1 <br /> RECEIVE? <br /> JUN — 4 2010 \\ <br /> SAN JOAQUIN COUNTY %y A <br /> ENVIRONMENTAL <br /> HEALTH OEPARTMEatr <br /> Please make Checks PAYABLE to: 'EHO' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES f HMMP Fees For all SERVICE FEES <br /> at the Rata of 100%of the Base Fee Penalties will be added at the Rats of 10% P@na les will be added at the Rate of 10% <br /> 30 Dela agar ON Due Date 46 Days after the Invoice Date So Days after the Imrolco Dab and each 30 Days thereafte <br /> 525a.Mt <br />