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SAN JOAOUIN COUNTY PUBLIC .LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0003362 <br /> FA0002111 <br /> Facility ID Losegesseemsesssemosill <br /> Date Printed 1/31101 <br /> LMMOMMOOMMOMM <br /> BENJAMIN HOLT SHELL RE : SHELL SERVICE STA* <br /> SHELL SERVICE STA* 3011 W BENJAMIN HOLT DR <br /> 3011 W BENJAMIN HOLT DR STOCKTON CA 95219 <br /> STOCKTON CA 95219 OWNER: EQUILON LLC ENTERPRISES <br /> Health <br /> ~ Date Program- Description Hrs Employee ��An�nt <br /> Invoice# IN0079221 —Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1130/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/3012001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $125.00 <br /> 1/30/1001 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $125.00 <br /> 1/302001 2362 Underground Storage Tank EH Operating Permit Fee Tank#005 $500.00 <br /> 1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE A <br /> Total for this Invoice0 <br /> Payment Due Date1 <br /> TOTAL DUE this Billing Period0 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAY <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 thereafter <br /> 5255.rpt <br />