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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />MAIN ST MUFFLER <br />3403 E MAIN ST STE C <br />STOCKTON, CA 95205 <br />6 Page 1 <br />Account ID <br />AR0025410 <br />Facility ID <br />FA0014884 <br />Date Printed <br />4/16/2004 <br />RE: MAIN ST MUFFLER <br />3403 E MAIN ST STE C <br />STOCKTON, CA 95205 <br />OWNER: EULALIA PENA <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0117562 --- Date of Invoice : 2/4/2004 <br />2/4/2004 2244 2004 HAZMAT FEE <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />3/21/2004 9987 Haz Mat Program Penalty Fee <br />3/30/2004 9999 PAYMENT <br />Invoice # IN0119081 --- Date of Invoice : 4/16/2004 <br />4/16/2004 2220 SM HW GEN <5 TONS/YR <br />$ <br />285.00 <br />$ <br />24.00 <br />$ <br />28.50 <br />($ <br />227.50) <br />Total for this Invoice $ <br />110.00 <br />Payment Due Date <br />3/6/2004 <br />$ <br />200.00 <br />Total for this Invoice I $ 200.00 <br />Payment Due Date 5/16/2004 <br />TOTAL DUE this Billing Period $ 310.00 <br />Please make Checks PAYABLE to: 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT <br />)enaities will be added to all Permit Fees For OES / 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 thereafte <br />....1111 <br />