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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART 'T <br />304 E WEBER AVE - 3RD FLOOR A. <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />l`" L'11 �CAv ci�0 <br />SHELL OIL PRODUCTS US <br />COUNTRY CLUB SHELL* <br />20945 S WILMINGTON AVE <br />CARSON, CA 90810 <br />Page 1 <br />Account ID I AR0008426 <br />Facility ID FA0006439 <br />Date Printed 1/24/2005 <br />RE: COUNTRY CLUB SHELL* <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />OWNER: SHELL OIL PRODUCTS US <br />Date Health <br />Program Description Amount <br />Invoice # IN0128099 --- Date of Invoice : 1/24/2005 <br />1/24/2005 2220 SM HW GEN <5 TONS/YR <br />1/24/2005 2244 2005 HAZMAT FEE <br />1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />pAYMEN_f <br />RECEIVED <br />MAR 10 2005 <br />SAN 30ACUIN COUNT`( <br />HEALTH <br />ENTH DEPARTMENT <br />;ECEIVED - SH&E <br />iuENGE & ENG -WEST <br />1 1111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII IIII <br />$ <br />111111 VIII IIII IIII <br />200.00 <br />$ <br />160.00 <br />$ <br />24.00 <br />Total for this Invoice <br />$ <br />384.00 <br />Payment Due Date <br />2/23/2005 <br />$ <br />384.00 <br />TOTAL DUE this Billing Period <br />APPROVAL SIGNATURE: <br />APPROV E: <br />COMPANY CODE: Lgkj2N 0201 <br />ACCOUNT CODE: 276501 <br />l �"! ���?� - 0201 <br />Con MR <br />co,cost <br />FES , S f�T� <br />Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br />'enalties 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 thereafte <br />j?55.lpt <br />