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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 — <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0004089 <br /> Facility ID FA0004407 <br /> Date Printed 5/27/2009 <br /> STAR BUILDING SYSTEMS RE : STAR BUILDING SYSTEMS <br /> PO BOX 1376 12101 E BRANDT RD <br /> LOCKEFORD, CA 95237-1376 LOCKEFORD, CA 95237 <br /> OWNER : STAR BUILDING SYSTEMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0183878--Date of Invoice : 1/29/2009 IIIIIIIiIIIIIIIIIIIIIIIIVIIIIIIIIII'll/VIIIIIIIIII IIIIIIIIIIIIIIIIIIIII <br /> 1/29/2009 2229 GEN 50<250 TONS PERMIT $ 2,149.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 420.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 42.00 <br /> 4/15/2009 9994 PERMIT FEE PENALTY $ 2,149.00 <br /> r Total for this Invoice $ 4,784.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 4,784.00 <br /> PASS® U U <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 daus. <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/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 />