Laserfiche WebLink
-•• ..—WW11Y �Uu1VI r <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE -3RD FLOOR Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0000644 <br /> Facility ID FA0000645 <br /> Date Printed 1/26/2007 <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 : RUNDUHAINC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0157272---Date of Invoice: 1/25/2007 IIIIIIIIIIIIIIIII VIIIIIIIIIIIII VIII IIIIIIIIII VIII VIII VIII VIII IIIIIIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 206.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 100.00 <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 $ 15.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2362 UST FACILITY& 1 TANK $ 125.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 500.00 <br /> $ 24.00 <br /> Total for this Invoice $ 1,125.00 <br /> Payment Due Date 2/25/20 <br /> TOTAL DUE this Billing Period $ 1 .00 <br /> R�MVED <br /> FEB 0 2 2coi <br /> SAN EN14RONM COUNTY <br /> HEALTN DEp�EN1' <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> =willto all Permit Fees For OES/HMMP FeesCE FEES <br /> f the Base Fee Penalties will be added at the Rate of 10% Penalties will be adddr all l at he Rate of 10e Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />