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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />UNITED AUTO REPAIR <br />400 N EL DORADO ST <br />STOCKTON, CA 95202 <br />Page 1 <br />0 <br />Account ID AR0022793 <br />Facility ID i FA0013637 <br />Date Printed 1/30/2006 <br />RE: UNITED AUTO REPAIR <br />400 N EL DORADO ST <br />STOCKTON, CA 95202 <br />OWNER: NGUYEN, JOSEPH <br />Date Health <br />Program Description Amount <br />Invoice # IN0143331 --- Date of Invoice : 1/27/2006 <br />1/27/2006 2220 SM HW GEN <5 TONS/YR <br />1/27/2006 2244 2006 HAZMAT FEE <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1111111111111 III VIII VIII VIII VIII VIII VIII VIII VIII <br />111111111111111 <br />$ <br />11111 IIII IIII <br />200.00 <br />$ <br />85.00 <br />$ <br />24.00 <br />Total for this Invoice <br />$ <br />309.00 <br />Payment Due Date <br />3/1/2006 <br />$ <br />309.00 <br />TOTAL DUE this Billing Period <br />PAYUIENT <br />RECEIVED <br />FEB 15 foo, <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT <br />aenalties 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 thereafte <br />52i4.rpt <br />