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SAN JOAQUIN COUNTY ./ Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0003451 <br /> Facility ID FA0003863 <br /> LMMOMEMMMOMMM <br /> Date Printed 3/28/2012 <br /> Lawommmmmmoms <br /> DOMINGUEZ, MICHAEL RE : FREMONT SHELL* <br /> FREMONT SHELL* 2494 E FREMONT ST <br /> 2494 E FREMONT ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : DOMINGUEZ, MICHAEL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0220314---Date of Invoice: 10/24/2011 IIIIIIIIIIIVIVIIIVIIIVII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> Hrs Employee <br /> 9/15/2011 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 WONG $ 62.50 <br /> 1/15/2012 9988 SERVICE CHARGE PENALTY $ 6.25 <br /> 2/15/2012 9988 SERVICE CHARGE PENALTY $ 6.25 <br /> 3/15/2012 9988 SERVICE CHARGE PENALTY $ 6.25 <br /> Total to Nis Invoice $ 81.25 <br /> PAST DUE <br /> Invoice# IN0223626---Date of Invoice: 1/30/2012 1111111 111111 III VIII VIII IIIIIIIIII(IIII IIIIIIIIII VIII VIII 11111 IIII 111111 VIII IIIIIIII <br /> 1/27/2012 2220 SM HW GEN c5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 130.00 <br /> 1/27/2012 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2012 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2012 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/27/2012 2352 UST FACILITY&1 TANK-2481 COMPLIANT $ 550.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 13.00 <br /> Total for this Invoice $ 1,110.00 <br /> Payment Due Date 2/29/2012 <br /> TOTAL DUE this Billing Period $ 1,191.25 <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 />