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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMC"IT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />NGUYEN, HIEN <br />N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />Page 1 <br />Account ID <br />AR0026382 <br />Facility ID <br />FA0015324 <br />Date Printed <br />1/28/2008 <br />RE: N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />OWNER: NGUYEN, HIEN <br />Date Health <br />Program Description Amount <br />Invoice # IN0171907 --- Date of Invoice : 1/25/2008 <br />1/25/2008 2220 SM HW GEN <5 TONS/YR <br />1/25/2008 2244 2008 HAZMAT FEE <br />1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIIIIIIVIIIVIIIVIII1111111111VIIIINIIII <br />$ <br />213.00 <br />$ <br />85.00 <br />$ <br />24.00 <br />Total for this Invoice $ 322.00 <br />Payment Due Date 2/27/2008 <br />TOTAL DUE this Billing Period $ 322.0 <br />RFyM N7 - <br />FCC J <br />SAN JOAC'UI <br />N <br />ENV/RO COUNTY <br />Hf-- ILTH L ogRTTAL <br />MENT <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 />5254.rpt <br />