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SAN .1UAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF=NT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> PTO e: ON,(209 46 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD RR0000644 <br /> Facility ID F FA0000645 <br /> Date Printed 1/30/2006 <br /> SHORT STOP MARKET RE : SHORTSTOP MARKET <br /> 20 W TURNER RD STE A 20 W TURNER RD A <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : RUNDUHA INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# ING143439---Date of invoice: 1/27/2006 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIII1111111111111 <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 /> $ 1,119.00 <br /> Payment Due Date 3/1/2006 <br /> „/� �`� TOTAL DUE this Billing Period � 1 119.00 <br /> `//(V(` .� '0 Q <br /> O 20 <br /> S tv ENVIOHc�UIh "0 <br /> HEAC>CEtv <br /> pAR*WAUNTIe <br /> IT' <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 />