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061301217117 11`3:41 yoliab4013t1 Uc <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 6 . <br /> QQ E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: E209)468-3420 <br /> INVOICE Aacora+i AMD 171 <br /> l G�` Fph FA0002160 <br /> l Date Prinree 4!2812010 <br /> PHALWINDER SINGH&L KAUR RE: WATERLOO GAS&LIQUOR MART <br /> WATERLOO GAS&LIQUOR MART 5611 WATERLOO RD <br /> 5611 WATERLOO RD STOCKTON,CA 95215 <br /> STOCKTON,CA 95215 <br /> OWNER: SINGH,PHALWINDERfM&KAUR,LIS <br /> Dale Health <br /> Program Description Amaun! <br /> Invoiced IN01981AII—Date of tmroioe: =7010 <br /> 211/2010 2220 SM HW GEN c5 TONS(YR S 213.OD <br /> 2!112010 2244 2010 HAZMA.T FEE S 300.00 <br /> 2/112010 2301 UST STATE SURCHARGE FEE 5 15.00 <br /> 21112010 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 2/1/2010 2301 UST STATE SURCHARGE FEES 15.00 <br /> e $ 125.00 <br /> 211/2010 2360 ADDITIONAL UST PASS <br /> 211!2010 2360 ADDITIONAL UST Delinquent ChargeS $ 125.00 <br /> 211 2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE 2352 will be �'orwarded to $ 525000 <br /> COLLTJONS ; 25.00 <br /> 211/2010 ERSC ELECTRONIC REPORTING SURCHARGE <br /> 3120!2010 9987 Hae Mat Program Penalty Fee In 30 days, $ 30'00 <br /> 411512010 9994 PERMIT FEE PENALTY $ 213.00 <br /> 4/1512010 99% PERMIT FEE PENALTY s 5w.00 <br /> 411512010 9994 PERMIT FEE PENALTY S 125.OD <br /> 4/1512010 9994 PERMIT FEE PENALTY $ 125.00 <br /> Taal for Oft Invoke $ 2,450.00 <br /> Payment Due Date 314/2010 <br /> invoice 8 1NO2O2539--Date of Invoice: 41270200 E 811111���ARI���SRIDII��iu�����l1A <br /> 4127/2011) 1617 RETAIL MARKET>100D SO FT W 1 FOOD PREP S 231.00 <br /> Total for Oft waftl S 231.00 <br /> Payment Due Date 5129f2010 <br /> TOTAL DUE this Billing P&ri0dj $ 2,681.00 <br /> Please make Cheeks PAYABLE to. 'EHIY — Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to a[!Permit Foas For OES I FiMMP Fees For all 3MV410E FEES <br /> at the Rate of 100%of the Dasa Fee Penalties will be added at the Rate of 1D% Penalties will be added at the Role of 10% <br /> 30 Days dW the Due Date 4S Days aftr the Invoice Dade 60 Days after the Invoke Date and each 30 Days thereafter <br /> 525�,rpt <br />