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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr`IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, (�,4 95202 <br /> <br /> <br /> INVOICE AccountlD AR0003203 <br /> Nr <br /> a� Facility ID FA0003625 <br /> g��C <br /> - Date Printed r 1/30/2006 <br /> znCSz==--=='j <br /> BP WEST COAST PROD RE : ARCO STATION #2133* <br /> BP WEST COAST PRODUCTS LLC 2908 W BENJAMIN HOLT DR <br /> PO BOX 6038 STOCKTON, CA 95207 <br /> ARTESIA, CA 90702 <br /> OWNER : BP WEST COAST PRODUCTS LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143288---Date of Invoice: 1/27/2006 <br /> I�IIIIIIIIIIII III VIIIVIIIVIII VIII VIII VIII 1111111111 IIII IIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <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 $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 1,289.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 289.00 <br /> FE 2 2 <br /> SAN JO,'i <br /> HEA TVfRONINEIv RN T,.: <br /> H'OcPG,RTtviENT <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 />