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JAN JUAUUIN L;UUN I Y <br /> E111RO'NMENTAL HEALTH DEPARTM Page 1 <br /> 304 E WEBER AVE -3RD FLOOR of 0 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0003421 <br /> Facility ID F FA0003833 <br /> Date Printed i/21/2006 <br /> SUPER STORE INDUSTRIES* RE : SUPER STORE INDUSTRIES* <br /> <br /> LATHROP, CA 95330 <br /> OWNER : SUPER STORE INDUSTRIES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142973---Date of Invoice: 1/27/2006 11111 11111 IN IIIIII 11111 1111 1111 <br /> 1/27/2006 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 690.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE <br /> $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE <br /> $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE <br /> $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST <br /> $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST <br /> $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST <br /> $ 125.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK <br /> $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 2,119.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 119.00 <br /> r-- - ' <br /> F 2 2006 <br /> SAPS!J"}i;?!J; i O iS17 ' <br /> Eov- <br /> -AL1 i!:nEr-: 4'r11FN <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!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 />