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SAN.JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM§ <br /> '600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 LI y Q <br /> N V O I C E 1 D Account 1D AR003 n <br /> Facility ID FA0019939 <br /> Date Printed 3/31/2010 <br /> JASONS WHOLESALE RE : JASONS WHOLESALE <br /> 2540 STATION DR D 2540 STATION DR D <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : JASON MATECKI <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0200927---Date of Invoice: 2/2/2010 il�lll�Il�ll�l 111 l�llllllll�lfll[I�I�f�lllll��$II�I�I��IIIIIII�1111I�I�I II �II�I��I <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 315.00 <br /> 2/112010 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 $ 31.50 <br /> Total for this Invoice $ 395.50 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 395.50 <br /> y <br /> Delinquent chordee <br /> ,,jvill be forwarded to <br /> nI� <br /> Please make Checks PAYABLE to: 'EMD' -- Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES I 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 the <br /> 5254.rpt <br />