Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> -304 E WESER AVE -3RD FLOOR . <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Accountlo AR0020299 <br /> a <br /> Facility ID FA0012442 <br /> Date Printed L 5/24/2004 <br /> COMPLETE AUTO BODY & PAINT RE : COMPLETE AUTO BODY & PAINT <br /> # 335 S WETMORE ST#5 335 S WETMORE ST. <br /> MANTECA, CA 95337-5700 MANTECA, CA 95337 <br /> OWNER : COMPLETE AUTO BODY&PAINT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116182---Date of Invoice: 2/412004 <br /> 214/2004 2220 SM HW GEN<5 TONS/YR <br /> IuMill 1IQrIQ �Q�If�l�Ql�lll�0� ���ImQD <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 200.00 <br /> $ 270.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mal Program Penalty Fee $ 27.00 <br /> 4/15/2004 9994 PERMIT FEE PENALTY $ 200.00 <br /> TO for this Invoice $ 721.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 721.00 <br /> p ST EMIL *- <br /> 0 U <br /> IAEALl' PIE-R kilf <br /> ' THIP CU;:iFi1-:NT YEAR _ <br /> •uJii Bl.-. t.� 'UVI)UNC 1, <br /> BAST Dtf. <br /> AfiE PAICo IN FLII I �E✓llrll:juent charges <br /> will be torwarded 'o <br /> COLLECI'JO! jiz <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 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 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 /> 5255.rpt <br />