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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 u <br /> INVOICE AccountlD F AR0003356 <br /> FA0003776 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> LMMMMEMMMEMEN <br /> SHELL SERVICE STATION RE : TOKAY SHELL* <br /> TOKAY SHELL* 420 W KETTLEMAN LN <br /> <br /> OWNER. EQUILON LLC ENTERPRISES <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079451 —Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 113012001 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 /> 1130/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#011 $125.00 <br /> 1130/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#012 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#013 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#014 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#005 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $1,150.00 <br /> Payment Due Date 3121 <br /> TOTAL DUE this Billing Periodl 150. 0 <br /> Please make Checks PAYABLE to: PHS/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 /> _NT <br /> NECEIVED <br /> FEB 13 2001 <br /> SAN JOAOUN COUNTY <br /> PIR. r iJ <br /> 5255.rpt <br />