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• Page 1 <br /> SAN JOAGk'At"' %3Ur'' .i2T�T <br /> ENVIRONMENTAL F <br /> 304 E WEBER A1!�— -3k.- uR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003673 <br /> Circle K Stores Inc. Facility ID FA0004033 <br /> Licensing Dept. DC 36 z/27i2oo3 <br /> P.O. Box 52085 Dale Printed <br /> Phoenix, AZ 85072-2085 <br /> <br /> <br /> <br /> <br /> <br /> OWNER : `rq&C RTHWE C <br /> Circle K Stores Inc. <br /> Amount <br /> Health __ - - — <br /> iUate program Description "— <br /> Invoice# IN0104279—Date of Invoice: 2/27/2003 $ 200.00 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 285.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 10.00 <br /> 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 <br /> 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 <br /> 2/27/2003 2301 UST STATE SURCHARGE $ 125.00 <br /> 2i27/2003 2360 ADDITIONAL UST $ 125.00 <br /> 2/2712003 2360 ADDITIONAL UST $ 500.00 <br /> 2/27/2003 2362 UST FACILITY& 1 TANK $ 17.50 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $ 1,282.50 <br /> Payment Due Date 312912003 <br /> TOTAL DUE this Billing Period $ 1,282.50 <br /> PAYMENT <br /> RECEI V E E) <br /> MAR 2 1 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVIS0i <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10 <br /> at the Rate of 100%of the Base Fee 60 Days after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date <br /> 5255.rpt <br />