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Account ID AR0016959 <br />Facility ID FA0009959 <br />Date Printed 10/31/2019 <br />INVOICE <br />111 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />JUANS AUTO REPAIR <br /> <br />RE: JUANS AUTO REPAIR <br />1145 S AURORA <br /> 11455 AURORA ST <br />STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br />OWNER: JUAN 0 MORGA <br />Date Health <br />Program Description Amount <br />Invoice # IN0327292 --- Date of Invoice: 9/26/2019 <br /> <br />1 1111111 111111 1D1111 11111 011111 11 11111 11111 1111111111 11111 1111 111111 11111 11111111 <br />9/26/2019 1921 HMBP-Regular-Primary Location $ 381.00 <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 />Total for this Invoice 709.00 <br />Payment Due Date 10/27/2019 <br />L TOTAL DUE this Billing Period) <br />- y <br />$ 709.00 <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