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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0001954 <br /> Facility ID FA0001946 <br /> Date Printed 2/27/2003 <br /> QUICK N SAVE RE : QUICK N SAVE*/SOHAL MARKET <br /> 1901 S EL DORADO ST 1901 S EL DORADO ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : SOHAL, AVTAR K <br /> Health <br /> Program Description Amount <br /> Invoice# IN0105224--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2244 2003 F MMP Annual Fee <br /> $ 85.00 <br /> 2/27/2003 2301 UST S ATE SURCHARGE <br /> $ 10.00 <br /> 2/27/2003 2301 UST S ATE SURCHARGE / <br /> $ 10.00 <br /> 2/27/2003 2360 ADDIT ONAL UST / <br /> $ 125.00,,,✓✓✓ <br /> 2/27/2003 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 747.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 747.50 <br /> RAR 1 $ 1003 <br /> SAN JOAc,UIN CUUN rY <br /> i UllEIC HFAU H SERVICES <br /> FNVIR(1N%4l NTAI 1-IFAIT1­1l'I\'IS,;N <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 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 Days thereafter <br /> 5255.rpt <br />