Laserfiche WebLink
0M14 owmWu11V l Uuly 1 1 <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM* • <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016543 <br /> Facility ID F FA0009543 <br /> Date Printed F 4/28/2010 <br /> A-1 TRANSMISSIONS INC RE : A-1 TRANSMISSIONS INC <br /> 3132 N WILSON WAY 3132 N WILSON WAY <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : GOODMAN, ERIC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0197826.-Date of Invoice: 2/2/2010 � 11111111111111111111INIIII <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE S 100.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 MSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 585.00 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 585.00 <br /> t i*m• <br /> DelingUent changes <br /> es. <br /> will be fonvarde- Ico <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 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 thereafter <br /> 5254.rpt <br />