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V/'11• VVI'/\+(V11'1 I,VVIV 1 I <br /> ENVIRONMENTAL HEALTH DEPARTMFtiT Page 1 <br /> .600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE 45 AccountlD AR0020314 <br /> Facility ID FA0012457 <br /> Date Printed 4/28/2010 <br /> GARZA, DAVID RE : J K AUTOMOTIVE <br /> J K AUTOMOTIVE 710 E YOSEMITE AVE <br /> 710 E YOSEMITE AVE MANTECA, CA 95336-5827 <br /> MANTECA, CA 95336-5827 <br /> OWNER : GARZA, DAVID <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0198223---Date of Invoice: 2/2/2010 IIIIII III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 100.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 585.00 <br /> Payment Due Date 3/4/2010 <br /> Invoice# IN0201357---Date of Invoice: 2/25/2010 I(IIIIII IIIIII III VIII VIII VIII ILII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> Hrs Employee <br /> 1/4/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 <br /> Total for this Invoice $ 57.50 <br /> Payment Due Date 3/28/2010 <br /> TOTAL DUE this Billing Period $ 642.50 <br /> FC-A.. k <br /> Delinquent,, cllna,rges <br /> WIII be- €"rip,; - 1 'fO <br /> nr 30 days. <br /> Pleasemake Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES 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 />