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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868E ON AVENUE RECEIVED <br /> STOCKTONTON, CCA 95205 <br /> INVOIC JUN - ¢ 2012 AccountlD AR0016097 <br /> COPYENVIRONMENTq�acilityID FA0009097 <br /> HEALTH DEPARTMENT <br /> pC� Date Printed 5/30/2012 <br /> '���jT <br /> RE : BIG O TIRES#31 <br /> CRONIN, BILL g10 E YOSEMITE AVE <br /> 810 E YOSEMITE AVE <br /> BIG O TIRES#31 pj <br /> ���p MANTECA, CA 95336 <br /> �1 <br /> MANTECA, CA 95336 ` <br /> OWNER : CRONIN, BILL/CHRISTENSEN, E <br /> "S <br /> Health vlv 1Q7� Amount <br /> Date Program Description J' <br /> Invoice# IN0223171 ---Date of Invoice: 1/30/20/20012 �� IIIIIIII IIII,I IIIIIIII VIIIIII„IIIIIII,IIII,IIVIII IIIA VIII III,IIIIII VIII IIIIIIII <br /> $ 213.00 <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 85.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 24.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 8.50 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 213.00 <br /> 4/15/2012 9994 PERMIT FEE PENALTY <br /> Total for this Invoice $ 568.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 568.50 <br /> PAST DUE <br /> Delinquent charges <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 /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees the_Rate of 10 <br /> at the Rate of 100%of the Base Fee Penalties will a added In the Rate of 10%,"60 Das after tthe Involice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5254.rpt <br />