Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTM� Page 1 <br /> 600 E�IVIAIWSTREET <br /> tTOCKTON, CA.95202 <br /> Phone: (209)4684420 <br /> 1 NVOICE „nt ID AR0035039 <br /> .� fIECEIVEI�'"° <br /> A � JUL 3 a Zoog Facility ID FA0OL7 <br /> Date Printed 7128/2009 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> JASON'S WHOLESALE RE : JASON'S WHOLESALE <br /> 2444 STATION DR STE D 2444 STATION DR STE <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : .JASON MATECKI <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0189702--Date of Invoice: 5/2612009 IIIf�llll��lll�l���lll lull l[��I l�I l kI�I����i�IIII1Illll llll�l�t�Illl��111 llfll�lE <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING $ 855.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 85.50 <br /> Total forthis Invoice $ 964.50 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 964.50 <br /> 'PAST <br /> Delinquent chargee <br /> will be forwarded to <br /> gin. 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!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.mt <br />