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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM"'T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />M <br />Page 1 <br />Account ID <br />AR0016534 <br />ommummommoommom <br />Facility ID <br />F FA0009534 <br />IMMENNEMMOMMM <br />Date Printed <br />F 3/14/2006 <br />RE: STOCKTON NISSAN <br />3131 AUTO CENTER CIR <br />STOCKTON, CA 95212 <br />OWNER: STOCKTON NISSAN <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0142747 --- Date of Invoice : 1/27/2006 <br />1/27/2006 2220 SM HIN GEN <5 TONSNR <br />1/27/2006 2244 2006 HAZMAT FEE PLUS 1 YEAR BACK BILLING <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIIIIIIIIIIIIIIIIIVIIVIII VIIVIIVIIIVIIVIIVIIIIIIIIIIIVIII <br />$ <br />IIIIIII <br />200.00 <br />$ <br />780.00 <br />$ <br />24.00 <br />Total for this Invoice $ 1,004.00 <br />Payment Due Date 3m12ooe <br />TOTAL DUE this Billing Period$$ 1,004.00 <br />A'AR 14 <br />SAN JOAOU/l`. r,. / <br />ENV/q0 CGU <br />HEALTH I'VIEDFPARTMM'N! <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 DES / 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 thereafter <br />5254 rpt <br />