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ENVIRONMFNTAL HEALTH DEPARTMF"T Page 1 <br /> 600 E MAIN STREET _ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0027251 <br /> 1 Facility ID F FA00 55733 <br /> Date Printed 5/28/2008 <br /> loommummmommms <br /> RIVERA, ARMANDO RE : RIVERA AUTO SERVICE <br /> RIVERA AUTO SERVICE 1402 E MINER AVE <br /> 933 S SIERRA NEVADA ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205-6935 <br /> OWNER : RIVERA, ARMANDO <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0171961 ---Date of Invoice : 1/25/2008 I VIII III I II V II VIII VII II'II IIIIIIII'VIII VIII 'I IIII 1111111111111111111 <br /> 1/25/2008 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 85.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> 4/15/2008 9994 PERMIT FEE PENALTY $ 54.00 <br /> Total for this Invoice $ 225.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 225.50 <br /> $OflRI� cs <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 />