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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM# '� �` . Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017456 <br /> Facility ID F FA0010456 <br /> Date Printed 8/11/2003 <br /> SIERRA CHEMICAL CO (STKN) RE : SIERRA CHEMICAL CO (STKN) <br /> 1010 INDUSTRIAL DR 1010 INDUSTRIAL DR <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : STANLEY K KINDER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104288•—Date of Invoice: 2127/2003 <br /> 2/27/2003 2214 CaIARP FAC STATE SURCHARGE FEE $ 200.00 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HAZMAT FEE $ 690.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 69.00 <br /> 5/15/2003 9994 PERMIT FEE PENALTY <br /> Total for this Invoice $ 1,376.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 1,376.50 <br /> PAYMENT <br /> RECEIVED <br /> qUr i i Zgoa ; <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONP^ENTAL HEALTH DIVISION <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 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 /> 5255.rpt <br />