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JAN JUAULIIN t:UUN I Y Page 1 <br />ENVIRONMENTAL HEALTH DEPARTMEO - Z 101304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 COPY <br />Phone: (209) 468-3420 <br />INVOICE <br />Account AR0009855 <br />Facility ID FA0006943 <br />Date Printed 1/30/2006 <br />LATHROP CHEVRON RE: LATHROP CHEVRON <br />140 E LATHROP RD 140 E LATHROP RD <br />LATHROP, CA 95330 LATHROP, CA 95330 <br />OWNER: PARTHIAN INC <br />Date Health <br />Program Description Amount <br />Invoice # IN0143436 --- Date of Invoice : 1/27/2006 <br />1/27/2006 <br />2220 <br />SM HW GEN <5 TONS/YR <br />1/27/2006 <br />2244 <br />2006 HAZMAT FEE <br />1/27/2006 <br />2301 <br />UST STATE SURCHARGE FEE <br />1/27/2006 <br />2301 <br />UST STATE SURCHARGE FEE <br />1/27/2006 <br />2301 <br />UST STATE SURCHARGE FEE <br />1/27/2006 <br />2360 <br />ADDITIONAL UST <br />1/27/2006 <br />2360 <br />ADDITIONAL UST <br />1/27/2006 <br />2362 <br />UST FACILITY & 1 TANK <br />1/27/2006 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />CCK # 1675- <br />IIIIIIIIIIIIIIIIIIIIVIIIVIIVIIIVII VIIIVIIIVIII VIIIIII <br />$ <br />IIIIIVI IIII IIII <br />200.00 <br />$ <br />285.00 <br />$ <br />15.00 <br />$ <br />15.00 <br />$ <br />15 00 <br />$ <br />125.00 <br />$ <br />125.00 <br />$ <br />500.00 <br />$ <br />24.00 <br />Total for this Invoice $ 1,304.00 <br />Payment Due Date 3/1 <br />TOTAL DUE this Billing Period $ ,304.0 <br />RECEIVED <br />F co 2 7 2006 <br />SAN JOAOUIN 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 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 />