Laserfiche WebLink
SANJOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMr-"T <br /> 600E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0032529 <br /> LONNNEEMOMMMI <br /> Facility ID FA001842 <br /> LEMEMMMMMENOM <br /> Date Printed F 2/2/2010 <br /> loommoommommomm <br /> REHAN ANWAR RE : VALLEY SMOG & REPAIR <br /> VALLEY SMOG & REPAIR 923 S CHEROKEE LN <br /> 923 S CHEROKEE LN LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : ANWAR, REHAN/KHAN, KASHIF <br /> L Date Health <br /> Program Description Amount <br /> Invoice# IN0200616—Date ofInvoice: 212/2010 1111111111111111111111111 IN 1111111111111111111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 100.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for this Involcel $ 362.00 <br /> Payment Due Date 31412010 <br /> TOTAL DUE this Billing Period $ 362.00 <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 /> S254 rpt <br />