Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> AMENDED Account ID AR0035429 <br /> INVOICE <br /> Facility ID FA0019881 <br /> Date Printed _ 2/17/2016 <br /> RON SANGUINETTI RE : FARMINGTON CIRCLE K <br /> FARMINGTON CIRCLE K 4469 S ESCALON BELLOTA BLVD <br /> 18638 E COPPEROPOLIS RD FARMINGTON, CA 95230 <br /> LINDEN, CA 95236 <br /> OWNER : SANGUINETTI INVESTMENTS LLC <br /> Date Health <br /> Program Description Amount <br /> invoice 4 IN0276744---Date of Invoice: 2/2/2016 16611111111111116111611111 IIIII 11111 16111116111116111611 illllIIIII 1161 11611116111 16111111 <br /> 2/2/2016 1921 HMBP-Regular-Primary Location S 315.00 <br /> 2/2/2016 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 2/2/2016 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 675.00 <br /> 2/2/2016 APSA APSA SURCHARGE $ 26.00 <br /> Total for this Invoice $ 1,051.00 <br /> Payment Due Date 3/3/2016 <br /> Invoice# IN0277308---Date of Invoice: 2/17/2016 1611111 111111 III 11111 IIIII IIIII Illii IIIII IIIII IIIII IIIII 111111111 111111111111111 IN <br /> 2/17/2016 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> Total for this Invoice $ 213.00 <br /> Payment Due Date 3/1812016 <br /> TOTAL DUE this Billing Period $ 1,264.00 <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 HMBP 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 /> ^254 rpt <br />