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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF—T <br /> 304 E WEBER AVE -3RD FLOOR 1' <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID —AR 0016-4 6-3 <br /> LMOMEMEMMEMES <br /> Facility ID F FA0009463 <br /> LMENNEEMEMMEME <br /> Date Printed 1/30/2006 <br /> LENUMMOMMEMENEM <br /> AUTOMOTIVE DIESEL SVC 8: GEN REPAIR RE : AUTOMOTIVE DIESEL SVC & GEN REPAIR <br /> 833 S COMMERCE ST 833 S COMMERCE ST <br /> STOCKTON, CA 95206-1276 STOCKTON, CA 95206 <br /> OWNER : PANAGOPOULOS, WILLIAM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142717--Date of Invoice: 1/27/2006 11111111 111111 III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIIIIIIII IIIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 130.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 354.00 <br /> Payment Due Date 3l1 <br /> TOTAL DUE this Billing Period $ 354.00 <br /> i' <br /> 3n;all1L' COl7NT/ — <br /> 50.,. <br /> lGN,1EfTTAL � <br /> FIEAL( OEPP.RTMENC <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 /> 5254.rpt <br />