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SAN JUAUUIN UUUN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMV • <br /> 304 E.W'EBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003516 <br /> Facility ID FA0003924 <br /> Date Printed 1/30/2006 <br /> LUMMENOMMIMMINME <br /> E R VINE &SONS-ARCH RD CARDLOCK RE : E R VINE & SONS-ARCH RD CARDLOCK <br /> 2825 RAILROAD AVE 4733 HWY 99 FRONTAGE RD <br /> CERES, CA 95307-4625 STOCKTON, CA 95205 <br /> OWNER : E R VINE & SONS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143379---Date of Invoice : 1127/2006 IIIIIIIIIIIIIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIVIIVIIVIIIIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HVI GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 100.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/2712006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY&i TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total torthis Invoice $ 1,119.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 1,119.0 <br /> 'RECEI VEP <br /> FEB 0 9 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 DES/HMMP 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 />