Laserfiche WebLink
JAN JUAL.tU11V UUUIV 1 T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEI-- <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOICE / 2- AccountlD AR0026834 <br /> Facility ID FA0015543 <br /> /\ Date Printed 5/30/2012 <br /> CHARLIE'S AUTO PARTS & HARDWAR RE : CHARLIES AUTO PARTS & HARDWARE <br /> 4515 E MAIN ST 4515 E MAIN ST <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : STANLEY POWERS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0224844---Date of Invoice: 1/30/2012 Iillllllll VIIVIIIVII VIIVII VIIVIIVIIIIIIIIIIIIVIIIIIIIII <br /> 1/2712012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 270.00 <br /> 1/2712012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 112712012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> 4/15/2012 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for[his Invoice $ 772.00 <br /> PAST DUE <br /> Invoice# IN0229426---Date ofInvoice: 5/2412912 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII/III/III <br /> Hrs Employee <br /> 4/18/2012 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 WONG $ 62.50 <br /> Total for this Invoice $ 62.50 <br /> Payment Due Date 6/2912012 <br /> TOTAL DUE this Billing Period $ 834.50 <br /> PAST DUE <br /> Delinquent Charges <br /> will be forwarded to <br /> COLLECTOHS <br /> in 30 days. <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 />