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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr`"T Page 1 <br /> 600 F MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016754 <br /> Facility ID FA0009754 <br /> Date Printed 2/2/2010 <br /> MERRY X-RAY CHEMICAL CO INC RE : MERRY X-RAY CHEMICAL CO INC <br /> <br /> STOCKTON, CA 95203-1420 <br /> OWNER : MERRY X RAY CHEMICAL CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0197883---Date of Invoice: 2/2/2010 111111 111111 111 11111 11111 IEI�IIII IIIII IIIII 11111 11111 1111 1111 111111 11111 1111�111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 360.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for this Invoice $ 622.00 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 622.00 <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 /> j?5=1.rpt <br />