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. .... - ,::_. _. • • 1 <br /> SAN JOAQUIN COUNTY Page <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 AR0016097 <br /> INVOICE Account ID <br /> Facility ID FA0009097 <br /> Date Printed 2129/2012 <br /> RE : BIG O TIRES#31 <br /> CRONIN, BILL 810 E YOSEMITE AVE <br /> BIG O TIRES#31 MANTECA, CA 95336 <br /> 810 E YOSEMITE AVE <br /> MANTECA, CA 95336 OWNER : CRONIN, BILL/ CHRISTENSEN, E <br /> Amount <br /> Health <br /> Dale Program Description <br /> Invoice# IND223171 ...Date of Invoice: 113012012 IIIIIIIIIIIIII III VIII VIII VIIIIIIIIIIIIIIIIIIIIIII VIII 1 <br /> 2VIIIIIIIIIIIIIIIIIIIIII <br /> $ 213.00 <br /> 1/27/2012 2220 SM HW GEN<5 TONSIYR $ 85.00 <br /> 112712012 2244 2012 HAZMAT FEE $ 24.00 <br /> 1/2712012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 <br /> 112712012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE Total for this Invoice $ 347.00 <br /> Payment Due Date 212912012 <br /> TOTAL DUE this Billing Period $ 347.00 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE 7hRa <br /> Penalties will be added to all Permit Fees For OES 1 HMMP Fees penalties will be added at tte o:;:] <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Days after the Invoice Date and 30 D <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5254rpt <br />