Laserfiche WebLink
ENVIRONMENTAL V ry l y <br /> HEALTH DEPART /T <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON <br /> CA 95202 Page 1 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account ID AR00 74,7 7417 p <br /> Facility ID FA0010470 <br /> Date Printed 4/25/2006 <br /> ELEGANT SURFACES g� <br /> 551 CARNEGIE ST RECEIVED RE ' ELECARNEG E S CES <br /> MANTECA, CA 95337 RECEIVED551 <br /> — APR 006 MANTECA, CA 95337 <br /> OWNER : POLIMENO, JOHN <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143040---Date of Invoice: 1/2712006 IIINIIIIIIIIIIIIIIIIIINIIIIIIINNIIIIININNNIIININNIIIIIIIINIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN c5 TONS/YR <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 315.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 24.00 <br /> 4/18/2006 9999 PAYMENT $ 31.50 <br /> ($ 539.00) <br /> Total forthis Invoice $ 31.50 <br /> yr—lit` .! {� Payment Due Date 3/112006 <br /> `1 � ;?TY Oti�Y i ti U TOTAL DUE this Billing Period § 31.50 <br /> ypua41W"IT FOR <br /> THF GURRENTYEAR <br /> NILPPAN ST DUEAMOUV�ylBE SSUED STIL REY`,'�AV�L, <br /> ARE PAID IN ktI <br /> APR 2 8 2Gt,o <br /> SAN NVIRO li COUNTY <br /> HF_gITH DEP RTMENT <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 />