Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMF T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE �-1 �ECEI®�E(tcFountlD AR0025022 <br /> N [[�YFaacility ID FA0014715 <br /> JUL 3 0 2009 <br /> Date Printed 7/28/2009 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> JOHN MANSU & SON RE : JOHN MANSU & SON <br /> 21750 KENNIFICK RD 1026 BLACK DIAMOND WAY <br /> ACAMPO, CA 95220 LODI, CA 95240 <br /> OWNER : JOHN MANSU &SON <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0189727---Date of Invoice: 5/26/2009 IIIIII IIII III VIII VIII VIIIIIIIIII VIII IIIIIIIIIIIIIII IIIIIIIIIIIII <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 510.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 51.00 <br /> Total for this Invoice $ 585.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 585.00 <br /> Delinquent charges <br /> will be forwarded, to <br /> COLDI CTiONS <br /> in 30 days. <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> talties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> 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 /> a.,,1 <br />