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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr"T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> Account ID AR0010247 <br /> Facility ID FA0007080 <br /> Date Printed 2/26/2008 <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# IN0169966---Date of Invoice: 1/25/2008 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 495.00 <br /> 1/25/2008 2248 RCRA GEN 25<50 TONS $ 1,911.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/12/2008 2247 RCRA GEN 5<25 TONS $ 1,672.00 <br /> 2/15/2008 9997 CORRECTION TO A CHARGE ($ 1,911.00) <br /> Total forthis Invoice $ 2,191.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period k 2,191.00 <br /> pAyMENT <br /> RECEIVED <br /> FEB 2 6 2008 <br /> SAN JOADUIN COUNTY <br /> HEALTH DEPARTMENT <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 />