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1 ,; -)AQUIN COUNTY PUBLIC HE," ` TH SERVICES <br />IVIRONMENTAL HEALTH DIVIS, <br />04 E WEBF c AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />BULK TRANSPORTATION <br />PO BOX 6068 <br />STOCKTON CA 95206 <br />INVOICE <br />Page 1 <br />Account I AR000325� <br />l a <br />Facility I DI <br />FA0003678 <br />Date Printed 4/24/00 <br />o.� <br />RE: BULK TRANSPORTATION <br />3032 S ELDORADO ST <br />STOCKTON CA 95206 <br />OWNER: BULK TRANSPORTATION <br />r Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0069499 --- Date of Invoice : 4/19100 <br />4/19/2000 <br />2220 <br />SM HW GEN <5 TONSNR <br />4/19/2000 <br />2301 <br />UST STATE SURCHARGE <br />4/19/2000 <br />2360 <br />Underground Storage Tank EH Operating Permit Fee <br />4/19/2000 <br />2399 <br />UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <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 />EC VED <br />JUN 16SNN <br />2000 <br />AOL1 N COUNTY <br />PUBUGHEP10 �A LRH V SIGN <br />ENVIRONt�EN1A1 H. <br />$100.00 <br />$8.00 <br />Tank # 003 <br />$170.00 <br />$10.00 <br />Total for thislnvoice <br />$288.00 <br />Payment Due Date <br />5/24/2IIQ0 <br />$288.00 <br />TOTAL DUE this Billing Periodl <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 />EC VED <br />JUN 16SNN <br />2000 <br />AOL1 N COUNTY <br />PUBUGHEP10 �A LRH V SIGN <br />ENVIRONt�EN1A1 H. <br />