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arta dvrtt,ruuv t. UlvI I raye t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET _ <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 I a. " <br /> INVOICE �� I!t Account ID AR0016037 <br /> J Facility ID FA0009037 <br /> LMOMMOOMMMMEMA <br /> Date Printed 4/28/2011 <br /> DURATEC RE : DURATEC <br /> PO BOX 1207 293 E WETMORE ST <br /> MANTECA, CA 95336 MANTECA, CA 95337 <br /> OWNER : GARY JDURAN <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0211557—Date of invoice: 113,1201, 11111HEIIII111111111111111111111111111111111111111111111111 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 270.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 346.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 346.00 <br /> OAST D,L. <br /> Delinquent charges <br /> Will be tOrvvarded to <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 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 />