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SAN JOAQUIN COUNTY i <br /> ENVIRONMENTAL HEALTH DEPARTML Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0014728 <br /> Facility ID FA0007952 <br /> Date Printed 1/26/2007 —1111 <br /> MARTINI AUTO RE : MARTINI AUTO <br /> AD ST <br /> 4032 N EL iDOR4032 N EL DORADO ST <br /> STOCKTON, CA 9 204 STOCKTON, CA 95204 <br /> OWNER : MARTINI'S AUTOMOTIVE <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0156934---Date of Invoice: /25/2007 1111 111111 11111 1111 IN <br /> 1/25/2007 2220 SM HW G N <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZ AT FEE $ 100.00 <br /> 1/25/2007 2399 NIFIED RROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 330.00 <br /> Payment Due Date 2/25/20 <br /> TOTAL DUE this Billing Period $ 30.00 <br /> PAYM E <br /> REOEIVED <br /> FEB U 9 2007 <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 /> 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 wi11 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 /> i2i4.rpt <br />