Laserfiche WebLink
SAN QUIN COUNTY • <br /> ENVIRONMENTAL <br /> RICEIVE® <br /> ENVIRONMENTAL HEALTH DEPARTMENT IV_ Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 n�T DEC 0 5 2014 <br /> INVOIC �Or i ENVIRONMENTAL <br /> -1- AR0003391 <br /> DER4RTMENT <br /> Facility ID FA0003806 <br /> Date Printed 1/30/2014 <br /> JH SIMPSON CO RE : JH SIMPSON CO <br /> PO BOX 8640 4025 CORONADO AVE <br /> STOCKTON, CA 95208 STOCKTON, CA 95204 <br /> OWNER : JH SIMPSON CO <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0247354--Date of Invoice: 1/30/2014 IIIIIIIII III VIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIII IIII IIII <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 285.00 <br /> 1/30/2014 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Totalfor this Invoice $ 374.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Period $ 374.00 <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 HMBP 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 />