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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMI* • <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD FAR0025355 <br /> Facility ID F FA0014852 <br /> Date Printed F 1/26/2007 <br /> Immummoommmmmmd <br /> GILBERT SILVA RE : RANCHO SAN MIGUEL MARKET* <br /> RANCHO SAN MIGUEL MARKET* 610 S CHEROKEE LN <br /> 17935 MURPHY PARKWAY LODI, CA 95240 <br /> LATHROP, CA 95330 <br /> OWNER : PAQ INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156177--Date of Invoice: 112412007 IIIIIIIIIIIIIII VIIIIIIIVIIVIVIIIIIIVIIVIIIVI IIIIIII IIIIIIIIIIIII <br /> 1/24/2007 1615 RETAIL MKT<2000 SQ FT (PREPKGD/LTD PREP) $ 170.00 / <br /> Total for this lnvofce $ 170.00` <br /> Payment Due Date 2/25/2007 <br /> I voice# IN015B493— of Invoice: 1/2512007 11111111 IIIIII III VIII(IIII VIII(IIII IIIIIIIIIIII(IIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 85.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2370 ADDITIONAL UST-1702 COMPLIANT $ 125.00 <br /> 1/25/2007 2372 UST FACILITY 8 1 TANK-1702 COMPLIANT $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 970.00 t/ <br /> Payment Due Date 2/ <br /> TOTAL DUE this Billing Period $ 1,140. <br /> i'AYMENT <br /> RECEIVED <br /> FEB 0 9 2001 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 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 />