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AMIY JVAwtjjiv t.VU1V 1 I <br /> ENVIRONMENTAL HEALTH DEPARTM-"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0013418 <br /> Facility ID FA 0007722 <br /> Date Printed 1/26/2007 <br /> SHAW, SANJIB RE : ORLANDO'S <br /> ORLANDO'S 18754 E HWY 26 <br /> 31 MEADOWS CT LINDEN, CA 95236 <br /> FREMONT, CA 94539 <br /> OWNER : SHAW, SANJIB <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0158149---Date of invoice : 1/25/2007 111111111111111111111111INIIEII1111111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE PLUS 2 YEARS BACK BILLING $ 345.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2362 UST FACILITY 8, 1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 1,370.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period ..1,37 0 <br /> REc <br /> MAR 21 zoos <br /> SAN JOAQUIN COUNT' <br /> fAL <br /> FNVlRONMEN <br /> HFJ,LT-1 DEPAR MENT <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/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 />