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SAN JOAOUIN COUNTY PUBLIC LTH SERVICES 1/ Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 /► <br /> INVOICE Account ID AR0006208 <br /> Facility ID FA0005584 <br /> Date Printed 1/31/01 <br /> ACCOUNTS PAYABLE RE : WOOLSEY OIL CO/ROBERTS PETRO <br /> WOOLSEY OIL CO/ROBERTS PETRO 930 E VICTOR RD <br /> 166 FRANK WEST CR LODI CA 95240 <br /> STOCKTON CA 95206 OWNER: CRUM,NORM <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice# IN0079572--Date of Invoice: 1/30101 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#006 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this invoicel $751.00 <br /> Payment Due Date 3/ <br /> TOTAL DUE this Billing Period 51.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMEI'1T <br /> RECEIVE-0 <br /> FEB 2 3 2001 <br /> SAC!JC AC""COUNTY <br /> P �Tl " EVICES <br /> EivJ Iwi tv-FL ALID DIVISION <br /> 5255.rpt <br />