Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />Page 1 <br />Account ID <br />AR0017532 <br />Facility ID <br />FA0010532 <br />Date Printed <br />9/27/2018 <br />DGN-G4GHG6 RE: GIGLI CO INC <br />GIGLICO INC 12333 S MANTHEY RD BOX C <br />12333-6-M*NT C LATHROP, CA 95330 <br />(� OWNER: G1e, N� -Joe <br />Date Health <br />Program Descriotion Amount <br />Invoice # IN0313038 --- Date of Invoice : 9/26/2018 <br />9/26/2018 <br />1921 <br />HMBP-Regular-Primary Location <br />9/26/2018 <br />1922 <br />CERS Processing Fee <br />9/26/2018 <br />2220 <br />SM HW GEN <5 TONS/YR <br />9/26/2018 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />9/26/2018 <br />APSA <br />APSA SURCHARGE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />449.00 <br />$ <br />30.00 <br />$ <br />249.00 <br />$ <br />49.00 <br />$ <br />26.00 <br />Total for this Invoice $ <br />803.00 <br />Payment Due Date <br />10/27/2018 <br />+$803.00 <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />OCT 12 2018 <br />SAN JOAOUIN COUNTY <br />LNNRONMENTAL <br />t1EALT tI DEPAR1 MLNI <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5'_ 54 rpt <br />