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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART, 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA <br /> <br /> Account ID AR0010247 A <br /> Facility ID FA0007080 <br /> Date Printed 2/20/2007 <br /> r� <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 /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156332---Date of Invoice: 1/25/2007 111111 111 11111 11111 11111 U11 IIIII IIIII IIIII IIIII IIIII IIIII IIII 111111 111 1111 IN <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 495.00 <br /> 1/25/2007 2248 RCRA GEN 25<50 TONS $ 1,846.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,365.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Periodl $ 2,365.00 <br /> r��•1VIPONp4RTR"•chT <br /> HEp,�TN pE <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 /> 5254.rpt <br />