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SAN JOAQUIN COUNTY • • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> INVOICE Account ID AR0016097 <br /> Facility ID FA0009097 <br /> Date Printed 4/30/2012 <br /> CRONIN, BILL RE : BIG O TIRES#31 <br /> BIG O TIRES#31 810 E YOSEMITE AVE <br /> 810 E YOSEMITE AVE MANTECA, CA 95336 <br /> MANTECA, CA 95336 OWNER : CRONIN, BILL/CHRISTENSEN, E <br /> HealthAmount <br /> Date Program Description <br /> Invoice# IN0223171 ---Date of Invoice: 113 012 01 2 I III 1111 IN <br /> $ 213.00 <br /> 1127/2012 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 /> 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 I HMMP Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Das after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5254.mt <br />