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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0020285 <br /> LUMMMMMOOMMMIN <br /> Facility ID F FA 0-1242 <br /> Dale Printed 7/28/2003 <br /> ENVIRONMENTAL SVC PROD MFG INC RE : ENVIRONMENTAL SVC PROD MFG <br /> <br /> LODI, CA 95240 <br /> OWNER : ENVIRONMENTAL SVC PROD MFG <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103993---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HAZMAT FEE $ 435.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 43.50 <br /> 5/15/2003 9994 PERMIT FEE PENALTY $ 200.00 <br /> 5/15/2003 9997 CORRECTION TO A CHARGE ($ 200.00) <br /> 5/29/2003 9999 PAYMENT ($ 652.50) <br /> Total for this Invoice $ 43.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 43.50 <br /> REC vED <br /> ,U��g2003 <br /> PUB MFNSPI Nf� <br /> ENNPON <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/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 />