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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 304 E'WEBER AVE -3RD FLOOR i <br /> STOCKTON, CA 95202 _ <br /> Phone: (209)468-3420 RECEIVED <br /> INVOICE ili Y I r, 2006 Account ID AR0024995 <br /> BHN JO�QJ4ld COUNTY FA6014688 <br /> :tFFfCE OF ENf*t3GENGY SERVICE,: Facility ID <br /> Date Printed 4/25/2006 <br /> DANS AUTO REPAIR RE , DANS AUTO REPAIR <br /> 1533 S STOCKTON ST 1533 S STOCKTON ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER , DAN HOUSTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144406 Date of Invoice : 1/27/2006 IIIIIIlIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIIIIlII1IIIlIIIIIIIIIIIIIiIIIIIII IIIII/III/III <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 100.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> Total for this Invoice $ 134.00 <br /> PASTDU E Payment Due Date 3/1/2006 <br /> Delinquent Charges TOTAL DUE this Billing Period $ 134.00 <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> 'enalties 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 will be added at the Date of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 64 Days after the Invoice Date and each 30 Days thereafter <br /> 254.rpt <br />