BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

JAN JVAVUIN L;VUlN I Y ENVIRONMENTAL HEALTH DEPARTM& 304 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE FAQIRYAN, SHAMSUDDIN LATHROP CHEVRON 140 E LATHROP RD LATHROP, CA 95330 Page 1 Account ID FAR0009855 Facility ID F FA0006943 Date Printed F 2/28/2007 RE: LATHROP CHEVRON 140 E LATHROP RD LATHROP. CA 95330 OWNER: FAQIRYAN, SHAMSUDDIN Date Health Program Description Amount Invoice # IN0157269 --Date of Invoice : 1/25/2007 1/25/2007 2220 SM HW GEN <5 TONS/YR 1/25/2007 2244 2007 HAZMAT FEE 1/25/2007 2301 UST STATE SURCHARGE FEE 1/25/2007 2301 UST STATE SURCHARGE FEE 1/25/2007 2301 UST STATE SURCHARGE FEE 1/25/2007 2360 ADDITIONAL UST 1/25/2007 2360 ADDITIONAL UST 1/25/2007 2362 UST FACILITY & 1 TANK 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE Invoice # IN0160288 -- Date of Invoice : 2/2612007 2/26/2007 1616 RETAIL MARKET < 1000 SO FT W / FOOD PREP $ 206.00 $ 285.00 $ 15.00 $ 15.00 $ 15.00 $ 125.00 $ 125.00 $ 500.00 $ 24.00 Total for this Invoke $ 1,310.00 Payment Due Date 212512007 IIIIIII 111111 III VIII VIII VIII VIIIVIII VIII VIII VIII VIII IIII 111111 VIII IIIIIII Total for this Invoice $ 160.00 Payment Due Date 30/ TOTAL DUE this Billing Period $ 1,470.00 REC v�D MAR 2 p 2oor SP REAR Et'� H�LtH Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES / HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt