Laserfiche WebLink
SAN JOAQUIN COUNTY • • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> '1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0037123 <br /> Facility ID FA0020706 <br /> Date Printed 4/29/2013 <br /> ULMER, KEVIN RE : MAXUM PETROLEUM/GENERAL <br /> MAXUM PETROLEUM/GENERAL PETR PETROLEUM <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : MAXUM PETROLEUM/GENERAL PETR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0238219---Date of Invoice: 2/1/2013 IIIIIIIVIVIIIVIVIVIIVIIIIIIIVIVIIIIIII VIII IIII IIII <br /> 2/1/2013 1921 HMBP-Regular-Primary Location $ 255.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 2/1/2013 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 675.00 <br /> 4/15/2013 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> 4/15/2013 9994 PERMIT FEE PENALTY $ 675.00 <br /> Total for this Invoice $ 1,665.50 <br /> Payment Due Date 3/3/2013 <br /> 1 TOTAL DUE this Billing Period $ 1,665.50 <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 HMBP 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 />