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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0003673 <br /> Facility ID FA0004033 <br /> Dale Printed 2/5/2002 <br /> <br /> <br /> <br /> OWNER: TOSCO NORTHWEST CO <br /> Health <br /> Date Program Description Hm Employee Amount <br /> Invoice# IN0090793—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2362 Underground Storage Tank EH Operating Permit Fee Tank#005 $500.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Opemtinq Permit Fee Tank#006 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> Total for this Involce $797.50 <br /> Payment Due Date 3/7/20 <br /> TOTAL DUE this Billing Period $797.50 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PA NT <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 /> PAYMENT <br /> RECEIVED <br /> SAN JONUUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />