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. HIV .JVHI, U1i14 UUUIV I Y <br /> ENVIRONMENTAL HEALTH DEP RTM' Page 1 <br /> 304 E WEBER AVE -3RD FLOOR _ - <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0007834 <br /> Facility ID FA0006388 <br /> ca) <br /> Date Printed 5/9/2003 <br /> AMAR GAS & F06D MART* RE : AMAR GAS & FOOD MART* <br /> 950 W 11TH ST 950 W 11TH ST <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : BASATI CORPORATION <br /> Date Health <br /> Program Descriptio <br /> Amount <br /> Invoice# IN0107033---Date of Invoice: /9/2003 <br /> 5/9/2003 2220 SM HW G EN<5 TONS/YR $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 6/8/2003 <br /> TOTAL DUE this Billing Period $ 200.00 <br /> Please make Checks PA ABLE 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 hereafter <br /> 5255.rpt <br />