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�J <br /> � SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0035056 <br /> Facility ID -FA0019694 <br /> Date Printed 1/30/2012 <br /> ROCKITE CO RE : ROCKITE CO <br /> 1550 SHAW RD#D 1550 SHAW RD#D <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : NEIL DAVIS ' <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0226146---Date of Invoice: 1130!2012 I Illlllllilllllllllllllllllllllilllll Illlllllll IIIIIlllllillll11111111111111111111i11 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 255.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for this Invoice $ 304.00 <br /> Payment Due Date 2/29/2012 <br /> TOTAL DUE this Billing Period $ 304.00 <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> r <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 will be added at the Rate of 10% Penalties wiil 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 />