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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 F HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0034013 <br /> INVOICE <br /> Facility ID FA0019100 <br /> Date Printed 2/26/2020 <br /> STOCKTON NISSAN RE : STOCKTON NISSAN <br /> PO BOX 691180 3077 E HAMMER LN <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 <br /> OWNER : LITHIA OF STOCKTON INC <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0329160---Date of Invoice: 9/26/2019 �111111 11111 E 11111�1111 1111111M 11111111111111E 11h 111111111111 U�� 10 IN <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 466.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2228 GEN 25<50 TONS PERMIT $ 2,102.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 9/26/2019 APSA APSA SURCHARGE $ 26.00 <br /> 12/15/2019 9987 Haz Mat Program Penalty Fee $ 46.60 <br /> 12/15/2019 9994 PERMIT FEE PENALTY $ 2,102.00 <br /> 1/14/2020 9999 PAYMENT ($ 2,673.00) <br /> Total for this Invoice $ 2,148.60 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 2,148.60 <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 /> �2�4.rpl <br />