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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPAR-41ENT � <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARoo1-ian <br /> Facility ID FA0010470 <br /> Date Printed 4/3/2007 <br /> ELEGANT SURFACES RE : ELEGANT SURFACES <br /> 551 CARNEGIE ST 551 CARNEGIE ST <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : POLIMENO, JOHN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156887---Date of Invoice: 1/25/2007 II II I II I I V II VII VI I I III I I V I VIII V I IIII III I 1111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/VR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.10 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/3/2007 9999 PAYMENT ($ 545.00) <br /> Total forthis Invoice $ 31.50 <br /> Payment Due Date 2/2 12,01 <br /> TOTAL DUE this Billing Period $ 31.50 <br /> PEINA TY OWINU <br /> REC -NED <br /> APR 2 6 zz" <br /> SAN JOAQUIN COUNTY <br /> HEALTH DEPARTMENT <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 />