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SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT '` Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016443 <br /> FaahtylD r FA0009443 <br /> LNUMMMIMMMEMIll <br /> Date Printed 1/31/2011 <br /> AMTEX INC RE : AMTEX INC <br /> 550 CARNEGIE ST 550 CARNEGIE ST <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : LEAR/HAYASHI TELEMPU <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0210810--Date of Invoice: 1/31/2011 (IIIIIIIII IIIIIIIIIIIIIVIIIIIIIIIIIIIV IIIIIIIIIIIIIIIIIIIIIIIN <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 345.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Totalfor this Invoice/ $ 607.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 607.00 <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 thereafter <br /> 5'_54 rpt <br />