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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 AR0006380 <br /> INVOICE <br /> Facility ID FA0005708 <br /> Date Printed 2/26/2020 <br /> RUSS THARP - PLANT MANAGER RE : SIERRA LUMBER <br /> SIERRA LUMBER 375 HAZELTON AVE <br /> PO BOX 6216 STOCKTON, CA 95203 <br /> STOCKTON, CA 95206-0216 <br /> OWNER : SIERRA LUMBER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0326706---Date of Invoice: 9/26/2019 IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 364.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONS/YR $ 249.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 12/15/2019 9987 Haz Mat Program Penalty Fee $ 36.40 <br /> 12/15/2019 9994 PERMIT FEE PENALTY $ 249.00 <br /> Total for this Invoice $ 977.40 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 977.40 <br /> ST DOE' <br /> PA TE`(OVR <br /> WE WOULD p,PPR oom! <br /> PPSMEN <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 /> i2i4.rpt <br />