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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0003356 <br /> Facility ID FA0003776 <br /> Date Printed 2/5/2002 <br /> SHELL SERVICE STATION RE: TOKAY SHELL* <br /> TOKAY SHELL* 42o W KETTLEMAN LN <br /> 420 WKETTLEMAN LN LODI CA 95240 <br /> LODI CA 95240 OWNER: EQUH.ON LLC ENTERPRISES LLC <br /> Health <br /> Hrs Employee Amount <br /> Date Program Description <br /> Invoice# IN0090725—Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> 1/22/2002 2362 Underground Storage Tank EH Operating Permit Fee Tank#005 $500.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#011 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/27/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#012 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#013 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#014 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> Total for this Invoice $1,267.50 <br /> Payment Due Date 1712002 <br /> TOTAL DUE this Billing Period $1,267.50 <br /> Please make Checks PAYABLE to: EBD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of to <br /> at the Rate of 100%of the Base Fee <br /> 60 Days arta:the Invoico:)oto and oath 30 thereafter <br /> 30 Days after the Cie:Date <br /> I <br /> PAYMENT <br /> RECEIVED <br /> MAR 5 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH OIVISION <br /> 5255.rpt <br />