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ENVIRONMENTAL HEALTH DEPARTMIJ• y <br /> 1868 E HAZFLTON AVENUE <br /> STOtKTON, CA 95205 IV E <br /> D <br /> INVOICE JUL 182011 AccountlD AR0025024 <br /> ENV1RoMWA <br /> HEATHDNfMEVAI FacilityID FA0014717 <br /> �1ENT <br /> Date Panted 6/27/2012 <br /> EASTSIDE AUTO REPAIR RE : EASTSIDE AUTO REPAIR <br /> <br /> =AAYALA <br /> OW ER : <br /> Date Health - <br /> Program Description Amount <br /> Invoice720120224732220 ate ofSM HW GEN o5 TONS/YR / IIIIIIiIIIIIIIIIIIIIII VIIIIIIIIIIIII�/2012 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 85.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM 5ACrSSTATE SURCHARGE F $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC RE RTING STATE SU H R E $ 25.00 <br /> 3/15/2012 9987 Haz Mat Progjam Penalty Fee $ 8.50 <br /> 4/15/2012 9994 PERMIT E PENALTY $ 213.00 <br /> / Total for this Invoice $ 568.50 <br /> PAST DUE <br /> n � n TOTAL DUE this Billing Period $ 568.50 <br /> 73 <br /> uEWOIJLbAI='TTOD f� <br /> APPRECIATE <br /> PnYI1�ENr T��AY:i <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 I 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 />