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----------- <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> INVOICE Account ID FAR0016948 <br /> Facility ID F FA0009948 <br /> Date Printed F-4—/30/2012 <br /> Loomommommom� <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 Amount <br /> Invoice# IN0223449---Date of Invoice: 1/3012012 111111111111111111111111 IN <br /> 1127/2012 2220 SM HW GEN<5 TONSIYR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 315.00 <br /> 1127/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 112712012 2832 AST FAC 10 K-<1=100 KGAL.CUMULATIVE $ 675.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 31.60 <br /> 4115/2012 9994 PERMIT FEE PENALTY $ 213.00 <br /> 4/1512012 9994 PERMIT FEE PENALTY $ 675.00 <br /> Total for this Invoice 1 $ 2,171.50 <br /> PAST DUE <br /> TOTAL DUE this $ 2,171.50 <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 DES I HMMP 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 />