Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRON@`,ENTAL HEALTH DEPART Page Page 1 <br /> 600 L MAIN STREET <br /> STOOKJ,ON, CA 95202 <br /> Phone: (209)468-3420 <br /> COO: Funtirl INVOICE AR0035834 <br /> FacilitylD FA0020087 <br /> r4�\N1 <br /> / Date Printed 3/8/2012 <br /> VVV ..` J <br /> STEVE MoKrtAIMD* <br /> 'h"Lfo'( RE : 7-ELEVEN #39208 <br /> 7-ELEVEN #39208 25460 SCHULTE RD <br /> <br /> <br /> : BEEBE,J ALLEN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND226332---Date ofInvoice: l/30/2012 1111111111111111111111111 IN 1111 <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 300.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 675.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for this Invoice $ 1,237.00 <br /> Payment Due Date 2 12012 <br /> TOTAL DUE this Billing Period $ 1,237.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 2 2012 <br /> SAN JOAQUIN COUNTY <br /> EViRMENTAL <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 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 />