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SAN JOAOUIN COUNTY V� -./ <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page t <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE <br /> AccountlD AR0003507 <br /> Facility ID FA0003911 <br /> Date Printed 2/5/2002 <br /> TOM VAN DE POL RE: VAN DE POL ENTERPRISES INC <br /> VAN DE POL ENTERPRISES <br /> PO BOX 1107 816 FRONTAGE RD STOCKTON CA 95201 RIPON CA 95366 <br /> OWNER: VAN DE POL ENTERPRISES <br /> Healih <br /> Date Program Description Hrs Employee q o <br /> Invoice# IN0090764—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> 1/22/2002 2301 UST STATE SURCHARGE $17.50 <br /> 1/22/2002 2362 Underground Storage Tank EH Operating Permit FeeTank#002 $10.00 <br /> 1/22!2002 2301 UST STATE SURCHARGE $500.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Opemtlng Permit Fee $10.00 <br /> Tank#003 $125.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#004 $12500 <br /> 1/22/2002 2301 UST STATE SURCHARGE <br /> 1/22/2002 2220 SM HW GEN yr TONS/YF $10.00 <br /> $200.00 <br /> Total for this Invoice $997.50 <br /> Payment Due Date 3/7/2002 <br /> TOTAL DUE this BiOing Period $997.50 <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 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 /> r, <br /> 5255.rpt <br />