Laserfiche WebLink
o." .,w,,WU13v %.vuiv I z Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 0� �t <br /> INVOICE p ` 1 Aunt lD AR0017148 <br /> Facility ID FAQQ1Q148 <br /> Date Printed 3/31/2010 <br /> CENTER AUTO REPAIR RE : CENTER AUTO REPAIR <br /> 1587 TURNPIKE RD 1587"TURNPIKE RD <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : TRAN, HA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0198773...Date of Invoice: 2/2/2010 I IIIIIII IIIIII III IIIIIIIIII IIIIIIIIII IIIIIIIIII Ill[Illlll llll[IIIIIIIfIIIIIIIIIIIIIII <br /> 2/1/2010 2244 2010 HAZ MAT FEE $ 130.00 <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 $ 13.00 <br /> Total for this Involve $ 192.00 <br /> Payment Due pate 3/4/2010 <br /> TOTAL DUE this Billing Period $ 192.00 <br /> n; <br /> in <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!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 />