Laserfiche WebLink
609 E MAJN STREET • <br /> -STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> JE <br /> COPY <br /> INVOICE Account ID FAR0018279 <br /> [J I) <br /> FacilityID FA0011279 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY ------------ <br /> S'RV"E <br /> ate Printed 5/26/2011 <br /> CUSTOM METAL FINISHING RE : CUSTOM METAL FINISHING <br /> 1550 SHAW RD #C 1550 SHAW RD C <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : CUSTOM METAL FINISHING <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0210488—Date of Invoice: 1/2812011 IIIIIIIIIIIIII III IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIII IIIIII IIIA IIII IIII <br /> Hrs Employee <br /> 12/30/2010 2227 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 WONG $ 61.00 <br /> 4/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 5/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> Total for this Invoicel $ 73.20 <br /> PAST DUE <br /> Invoice# IN0211215---Date of Invoice: 113112011 IIIIIIIIIIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIII IIIIII IIIII IIII IIII <br /> 1/28/2011 2227 GEN 5<25 TONS PERMIT $ 1,672.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 360.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penal_ Fee - �z.. $ 36.00 <br /> 4/15/2011 9994 PERMIT FEE PENALIIv,7� r U $ 1,672.00 <br /> Dellllquent Charges Total for this Involcel $ 3,789.00 <br /> will be forwarded to PAST DUE <br /> pp gg-^mm 99 'N 5 <br /> Invoice# IN0214980---Date of Invoice: 312912011; in 3o arF& IIIIIIII IIIIIIIII IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIillllllll IIIIIIIIIIIII <br /> Hrs Employee <br /> 2/9/2011 2227 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 WONG $ 61.00 <br /> Total for this Invoicel $ 61.00 <br /> Payment Due Date 4/29/2011 <br /> TOTAL DUE this Billing Period $ 3,923.20 <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.rp1 <br />