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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0027189 <br /> INVOICE <br /> Facility ID FA0015709 <br /> Date Printed 1/29/2019 <br /> WRENCHERS RE : WRENCHERS <br /> 2339 W HAMMER LN STE C#300 540 N GRANT ST <br /> STOCKTON, CA 95209 STOCKTON, CA 95202 <br /> OWNER : WRENCHERS, LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0315341 ---Date of Invoice: 9/26/2018 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> 9/26/2018 2220 SM HW GEN<5 TONS/YR $ 249.00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 249.00 <br /> Total for this Invoice $ 547.00 <br /> PAST DUE <br /> T/lT A l n„C FM;- L2;,,;.,n onr;,,r1 $ 547.00 <br /> MOLient charges <br /> Z <br /> e iQI1'"Jardend to � <br /> sa <br /> in30 dad./s. ckl � <br /> s � <br /> z� 31 i q : f w ��P� • p A off- q <br /> rc <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />