Laserfiche WebLink
SAN JOAOUIN COUNTY PUBLIALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIIIIIIIIISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0009105 <br /> FA0006423 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> SOHAIL BAFAIZ&KHALIL BAFAIZ RE : MAIN STREET BEACON#474 <br /> MAIN STREET BEACON#474 3440 E MAIN ST <br /> 3440 E MAIN ST STOCKTON CA 95205 <br /> STOCKTON CA 95205 OWNER: BAFAIZ,SOHAIL/BAFAIZ,KHALIL <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079642--Date of Invoice: 1130101 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <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#005 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#004 $50 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Totalfor this Invoice $784.00 <br /> Payment Due Date /21 <br /> TOTAL DUE this Billing Periodh $784.00 <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 Penal ties 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 /> PAYME <br /> RECEIVED <br /> FEB 0 6 2001 <br /> AN JOAOUIN COUNTY <br /> ENVIRONMENi4ALEq�RVOIVSION <br /> 5255.rpt <br />