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JAN JUAUUIN UUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMF"T _ Page 1 <br /> 304 E WEBER AVE -3RD FLOOR t <br /> STOCKTON, <br /> <br /> 003311 <br /> AccountlD AR0 <br /> FacilitylD FA0003732 <br /> Date Printed 1/26/2007 <br /> ANGLE, BALAJI & CHHAYA RE : 99 SHELL* <br /> 99 SHELL" 7700 MORELAND CT <br /> 7700 MORELAND CT STOCKTON, CA 95212 <br /> STOCKTON, CA 95212 <br /> OWNER : ANGLE, BALAJI & CHHAYA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157181 ---Date of Invoice: 1/25/2007 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 145.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/25/2007 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/25/2007 2352 UST FACILITY& 1 TANK-2481 COMPLIANT $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,170.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 1,17000 <br /> PAYI\,7 E i`J.� <br /> RECEIVED <br /> FEB 2 2, yob, <br /> SAN JOAOJIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />