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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTF'—NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARoolszaa <br /> Facility ID FA0009240 <br /> Date Printed 1/24/2005 <br /> PATEL, DIMPLE & HINA RE : ELITE CLEANERS <br /> ELITE CLEANERS 3201 W BENJAMIN HOLT DR STE 119 <br /> 3201 W BENJAMIN HOLT DR#119 STOCKTON, CA 95219 <br /> STOCKTON, CA 95219 <br /> OWNER : PATEL, DIMPLE & HINA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 29819—Date of Invoice: 1/24/2005 1111111111111 <br /> 1/24/2005 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total $ 479.00 <br /> Payment Due Date 2123/2005 <br /> TOTAL DUE this Billing Period $ 479.00 <br /> T- <br /> pAyj\A <br /> REC IVED <br /> FEB 3 205 <br /> EN�RONME I11,L <br /> HEALTH DEPW <br /> TMENT <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 /> 5255 rpt <br />