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SAN JOAQUIN COUNTY RECEIVE® <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMO <br /> 606 E MAIN STREET B 2 2 2010 <br /> Phone: 209 46 95202 COPY <br /> Phone: (209)468-3420 \USAN JQUIN CO11 <br /> FflCEOFEMERGENCY ERSIC <br /> INVOICE `�( Account ID AR0016920 <br /> 10) IMMIMMMEMEMni <br /> Facility ID FA0009920 <br /> Date Printed 22/2010 <br /> UNION PLANING MILL (735) RE : UNION PLANING MILL <br /> PO BOX 348 735 S SUTTER ST <br /> STOCKTON, CA 95201 STOCKTON, CA 95203 <br /> OWNER : MCCLURE, RALPH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0198727---Date of Invoice : 2/2/2010 IIIIIIIIIII VIIIVIIIIIIIVIIIIIIIIVIIIIIIIVIIIVIIIIIIIIIII IIII IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 375.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total forthis Invoicel $ 424.00 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 424.00 <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/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 /> 595d mr <br />