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S,N JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPA IENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE <br /> LMMMMOMMORMUMMEM <br /> Facility ID F FA0011279 <br /> Date Printed F 3/22/2002 <br /> LEMOMOMMMMMA <br /> FRANK DOMINGUEZ RE : CUSTOM METAL FINISHING <br /> CUSTOM METAL FINISHING 1550 SHAW RD#C <br /> 1550 SHAW RD#C STOCKTON CA 95215 <br /> STOCKTON CA 95215 <br /> OWNER: CUSTOM METAL FINISHING <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0092593--Date of Invoice: 1/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this invoice $217.50 <br /> Payment Due Date 3/7120 <br /> TOTAL DUE this Billing Period $217. <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMEN-! <br /> RECENPE <br /> ,.AAR 2 0 2002 <br /> S°,N JOAUUov::GJNT� <br /> PUBLIC}IEAI]H SfPVICES <br /> ENVIRDr:?,JRl'4 H'�AI:To i!V&)I, <br /> 5255.rpt <br />