Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEID ������ <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 AW -2 2005 <br /> Phone: (209)468-3420 <br /> JAN JUAUUIN UUUN I Y <br /> INVOICE CFFICE OF EMERGENCY SERVICES Account ID AR0016291 <br /> Facility ID FA0009291 <br /> Date Printed F 5/23/2006 <br /> Immmommommommm <br /> TED'S WELDING & REPAIR RE : TED'S WELDING & REPAIR <br /> PO BOX 726 8932 E HWY 12 <br /> VICTOR, CA 95253 VICTOR, CA 95253 <br /> OWNER : G WILLIAM BRAUN <br /> Health <br /> Dale Program Description Amount <br /> Invoice# IND142650---Date of Invoice : 1/27/2006 p1111111111111111111IN1111111111 <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> Tot al for this lnvolce $ 770.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Periodl 770.50 <br /> Z4"a*'". rte"`klna <br /> Delinqueril charges <br /> vvill bG torr,. .irdec; Eo <br /> C,701 �Am Aai.,�e 'S:r `@'•;:1:`;max <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/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.rpt <br />