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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN'"'T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARo016 778 <br /> Facility ID FA00 99078 <br /> LMOMOMMONOWMA <br /> Date Pnnted 1/28/2008 <br /> loommmmoommmowd <br /> FREIH'S AUTO REPAIR RE : FREIH'S AUTO REPAIR <br /> 916 BLACK DIAMOND WAY#B 916 BLACK DIAMOND WAY B <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : CURTIS FREIH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170056--Date of Invoice: 1/25/2008 11111111111111111111 lie 111111 Hill HIRE <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 100.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 337.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 337.0 <br /> RECE VED <br /> MAR 17 2008 <br /> SAN OAQUIN ON CO <br /> HEALTHDEPUNTy <br /> AR 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 DES I 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 /> 24 rpt <br />