Laserfiche WebLink
5/LWJVAwuu,4 t:VUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 504 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> nt ID AR0003263 <br /> Facility ID F FA0003685 <br /> Date Printed 1/30/2006 <br /> BOYETT PETROLEUM RE : BOYETT PETROLEUM <br /> PO BOX 576277 419 S MAIN ST <br /> MODESTO, CA 95357-6277 MANTECA, CA 95336 <br /> OWNER : BOYETT, STAN AND SON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143499---Date of Invoice: 1/27/2006 IIII IIIIII III VIIIIIIIIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 100.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY&1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,119.00 <br /> Payment Due Date 3/1120 <br /> TOTAL DUE this Billing Period 19.00 <br /> REc n� � <br /> FEB 1 0 2006 <br /> SAN IF N ORO UI N OUN1Y <br /> fiEALTH pE 4q MFS <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 />