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DAN JUAVUIN L IJUN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM'IT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025956 <br /> Facility ID FA 00151 11 <br /> LMMONOMMMMMEMA <br /> Date Printed 1/30/2006 <br /> TRACY DIESEL ELECTRIC RE : TRACY DIESEL ELECTRIC <br /> PO BOX 1152 23737 S CHRISMAN RD <br /> TRACY, CA 95378-1152 TRACY, CA 95376 <br /> OWNER : RAY BORGES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144504—Date of Invoice: 112712006 IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII VIII VIII VIII VIII IIII 11111111111 IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 311/2006 <br /> F <br /> TOTAL DUE this Billing Period $ % 479.00 <br /> REG•EI�ND <br /> FEB 1 7 ?Opg <br /> H EN gONM1cOUN7Y <br /> E4LTy DEPAR flvT <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 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.tpt <br />