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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF Page 1 <br /> 304 E WEBER AVE -3RD FLOOR - <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0016754 <br /> Facility ID FA0009754 III <br /> Date Printed 2/14/2007 <br /> MERRY X-RAY CHEMICAL CO INC RE : MERRY X-RAY CHEMICAL CO INC <br /> <br /> STOCKTON, CA 95203-1420 <br /> OWNER : MERRY X RAY CHEMICAL CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156668---Date of Invoice : 1/25/2007 11111 11111 IN 111111 11111 IN IN <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 390.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 620.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 620.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 14 2M <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMF-NT <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 /> 52i4.rpt <br />