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JAN JUAUUIN I:UUN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMf ' <br /> 304 E WEBER AVE -3RD FLOOR COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0009105 <br /> Facility ID FA0006423 <br /> Date Printed 1/30/2006 <br /> LEE,JEAN HYUN RE : UNITED GAS <br /> UNITED GAS 3440 E MAIN ST <br /> 3440 E MAIN ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : LEE,JEAN HYUN <br /> Date Health Amount <br /> Program Description <br /> Invoice# IND143437--Date of Invoice: 1/27/2006 IIIIIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIVIIIIIIIIIIIII 111111111 IIII <br /> $ 200.00 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 85.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 500.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 24.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> Total for this Invoice $ 1,104.00 <br /> Payment Due Date 3111200 <br /> TOTAL DUE this Billing Period $ ,104.00 <br /> IVI t J T <br /> RECEI E <br /> FEB 13 �i , <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Pena::::all Permit Fees For OES I HMMP Fees penalties will be added at the Rate of 10°/ <br /> athe Base Fee Penalteswillbe added attheRate of 10% 60 Da s aker the Invoice Date and each30Days thereafterue Date 45 Days after the Invoice Date Y <br /> 5254.rpt <br />