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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD ARoolsz7s <br /> Facility ID FA0011279 <br /> <br /> LUMMMMMMMMMEM <br /> CUSTOM METAL FINISHING RE : CUSTOM METAL FINISHING <br /> 1550 SHAW RD#C 1550 SHAW RD C <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : CUSTOM METAL FINISHING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143168---Date of Invoice: 112712006 (IIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII IIIIIIIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 360.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> NAAR 2 s 200 <br /> SAN JOAQUIN c,cut!T"' <br /> ENVIRONMENTAL 11 <br /> HEALTH D_. <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 rpt <br />