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SAN JOAQUIN COUNTY <br /> EWIRONMENTAL HEALTH DEPARTMMM'IT ^ Page 1 <br /> 600 C-MAIN STREET <br /> STOCKTON, CA 95202 \O <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0024355 <br /> Facility ID FA0014331 <br /> Date Printed 2/29/2012 <br /> WHEEL WORKS RE : WHEEL WORKS <br /> 802 S FIRST ST 420 W LODI AVE <br /> SAN JOSE, CA 95110 LODI, CA 95240 <br /> OWNER : TIRES PLUS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0224682—Date of Invoice: 1/30/2012 11111111111111111 Hill 111111111111111 Hill Mill 1111111111[fill hill Of 11111111111111111111 <br /> 1/27/2012 2227 GEN 5<25 TONS PERMIT $ 1,672.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 330.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for this Invoice $ 2,051.00 <br /> Payment Due Date 2/2912 <br /> TOTAL DUE this Billing Period $ 2,051.00 <br /> r <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 8 2012 <br /> SAN JOAQUIN COUNry <br /> EN <br /> VIROMENT4L <br /> HEgLTR 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 />