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ENVIRONMENTAL HEALTH DEPARTW T <br /> 304 E WEBER AVE -3RD FLOOR Page t <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 COPY <br /> INVOICE A=unt ID AR0016750 <br /> Facility ID F FA0009750 <br /> Date Printed 1/30/2006 <br /> ART'S AUTO WRECKING INC RE : ART'S AUTO WRECKING INC <br /> 4223 CLARK DR 4223 E CLARK DR <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : ARTHUR C GUSTAFSON <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142810—Date of Invoice: 1/27/2006 IIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIII IIIIIIIIII IIIIIIIIIIVIII IIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forth;,Invoice $ 524.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 524.0 <br /> RA <br /> E MVP_ <br /> FEB 0 9 <br /> HfTp MENTyqyN� <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 /> a254 rpt <br />