Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENWRONM1=NTAL HEALTH DEPARTME� r <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICEI RECEI1/ED Account ID AR0024995 <br /> AP 0 2007Facility it? FA0014688 <br /> aAN JUAUUIN liUUNIY date Printed 3/27/2007 <br /> OFFlCE OF EMERGENCY SERVICES <br /> DAN'S AUTO REPAIR RE : DAN'S AUTO REPAIR <br /> 1533 S STOCKTON ST 1533 S STOCKTON ST <br /> LOD1, CA 95240 LODI, CA 95240 <br /> OWNER : DAN HOUSTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0158210--Date of Invoice: 1125/2007 IIIIIIIIillllllllVlllillllll�[��IlIIfIII�IfIf�IIIIITiIIIIIIiIiIIII�IIVIIIIIIIIN <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3115/2007 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> Total forth Is Invoice $ 134.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 134.00 <br /> t' d <br /> 1i1f1=Wtri-f�4,� <br /> P'G' t `•�.l T�OD tYI <br /> pA -r DUE <br /> DelinC Uen1 charges <br /> will be forwarded 10 <br /> COLLECTIONS <br /> in 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 DES 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.rp1 <br />