Laserfiche WebLink
SAN JUAQUIN GUUN I Y <br /> EN,VIRNMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (2 <br /> AR0010247 <br /> Facility ID FA0007080 <br /> Date Printed I 1/30/2006 <br /> QB REBUILDER RE : QB REBUILDER <br /> 2325 W CHARTER WAY 2325 W CHARTER WAY <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : QUICK BRAKE <br /> I <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142477—Date of Invoice: 1/27/2006 <br /> 11111111111111 III IIIII IIIII IIIII IIIII Ilill IIIII IIIII IIIII IIIII IIIII IIII 111111 IIIII IIII IIII � <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 495.00 <br /> I <br /> 1/27/2006 2248 RCRA GEN 25<50 TONS $ 1,792.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,311.00 <br /> Payment Due Date 3/1/ 6 <br /> TOTAL DUE this Billing Period $ 2,311.0 <br /> �Y y <br /> !1,i <br /> 4 ( ` FEe 1 3 2060 <br /> O I SAN JOAOIN <br /> D t� ENV/RONCOUN/Y <br /> _PAH�LTy p S ANT <br /> fly <br /> Please make Checks PAYABLE to: 'EHD' — Retum 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 /> 5254.rpt <br />