Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0047669 <br /> Facility ID FA0025324 <br /> Date Printed 6/7/2019 <br /> PAIGE GILLIN RE : PROFLEET TRUCK LUBE ACAMPO <br /> PROFLEET TRUCK LUBE ACAMPO 24511 N HWY 99 <br /> 24511 N HWY 99 ACAMPO, CA 95220 <br /> ACAMPO, CA 95220 <br /> OWNER : GILLIN, PAIGE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0323135---Date of Invoice: 6/7/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 6/7/2019 1921 HMBP-Regular-Primary Location $ 364.00 <br /> 6/7/2019 1922 CERS Processing Fee $ 30.00 <br /> 6/7/2019 2220 SM HW GEN<5 TONS/YR <br /> $ 249.00 <br /> 6/7/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 6/7/2019 APSA APSA SURCHARGE <br /> $ 26.00 <br /> Total for this Invoice $ 718.00 <br /> Payment Due Date 7/7/2019 <br /> TOTAL DUE this Billing Period $ 718.00 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> 1525 <br /> nalties 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 /> 4.rptt <br />