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PR0522503
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BILLING_PRE 2019
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Entry Properties
Last modified
12/17/2018 9:52:22 AM
Creation date
10/9/2018 11:26:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0522503
PE
2220
FACILITY_ID
FA0015324
FACILITY_NAME
N Auto Plus Tires
STREET_NUMBER
3403
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
3403 E MAIN ST STE B
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
EJimenez
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPAR" NT <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 C <br />STOCKTON, CA 95205 <br />Page 1 <br />Account ID <br />AR0025410 <br />Facility ID <br />FA0014884� <br />Date Printed <br />7/25/2006 <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 Amount <br />Invoice # IN0144468 --- Date of Invoice : 1/2712006 <br />1/27/2006 <br />2220 <br />SM HW GEN <5 TONS/YR <br />1/27/2006 <br />2244 <br />2006 HAZMAT FEE <br />1/27/2006 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />3/29/2006 <br />9999 <br />PAYMENT <br />5/15/2006 <br />9987 <br />Haz Mat Program Penalty Fee <br />5/15/2006 <br />9994 <br />PERMIT FEE PENALTY <br />7/5/2006 <br />9999 <br />PAYMENT <br />Delinquent charges <br />will be forwarded to <br />COLLECTIONS <br />in 30 days. <br />111111111111111 IN <br />$ <br />11111111111 IN IN <br />200.00 <br />$ <br />285.00 <br />$ <br />24.00 <br />($ <br />128.00) <br />$ <br />18.10 <br />$ <br />200.00 <br />($ <br />500.00) <br />Total for this Invoicel $ 99.10 <br />PAST DUE <br />TOTAL DUE this Billing Period $ 99.10 <br />,;� C-.5- <br />RECYFryENT <br />S'91� oUC 2 8 �Gb <br />FNP, �Qv,N <br />H z�ii7'&6" q M �AI� <br />ENT <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 / 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 />)G-'�4 rpt <br />
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