Laserfiche WebLink
itev�a.(VIIY VVV IV 1 I <br /> ENVIRONMENTAL HEALTH DEPARTM17" T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 f ^ n <br /> Phone: (209) 468-3420 J l I <br /> INVOICE Account ID ARoolssas <br /> Facility ID FA0009948 <br /> Date Printed 4/28/2010 <br /> A & A ROSSI HAY SERVICE RE : A&A ROSSI HAY SERVICE <br /> PO BOX 332 511 N AIRPORT WAY <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> OWNER : A& A ROSSI HAY SERVICE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0196863 ---Date of invoice : 12/23/2009 11111 Hill 11111111111111111111 fill IIII <br /> Firs Employee <br /> 11/23/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 1.10 CACAPIT $ 126.50 <br /> 3/15/2010 9988 SERVICE CHARGE PENALTY $ 12.65 <br /> 4/15/2010 9988 SERVICE CHARGE PENALTY $ 12.65 <br /> Total for this Invoice $ 151.80 <br /> PAST DUE <br /> Invoice# IN0197944---Date of invoice: 212/2010 1111111111111111111111111111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 315.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 821.50 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 973,30 <br /> > T WE <br /> Delinquent Charges <br /> will be forwarded to <br /> : . . in 30 <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/Fill 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />